- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,… more
- CenterWell (Boise, ID)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged, or suspected fraud , waste , or abuse. This role involves varied work assignments that often require interpretation and independent judgement to… more
- State of Michigan (Macomb, MI)
- Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Macomb Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4924560) Apply ... Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG - Macomb Co Salary $1,996.00 - $3,063.20 Biweekly Location Macomb, MI Job Type Permanent Full Time Remote… more
- Molina Healthcare (Kearney, NE)
- …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste , and abuse. Duties include performing accurate and reliable… more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or ... and resolution of all levels (low to complex), of fraud , waste , and abuse schemes, resulting in...fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The DSS Accountability ... state data sources. BFI is recruiting for three (3) Fraud Investigator II to function as Senior...who will: - Conduct complex investigations into allegations of fraud , waste , and/or abuse of social services… more
- MyFlorida (Orlando, FL)
- …of Financial Services. This advertisement is for theBureau of Public Assistance Fraud . This advertisement is for aFinancial Crime Investigator Iposition which ... FINANCIAL CRIME INVESTIGATOR I (PENDING RECLASSIFICATION) - 43061948 Date: Jul... Fraud is to aggressively identify and eliminate fraud , waste , and abuse to safeguard the… more
- Highmark Health (Dover, DE)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... for conducting investigations of organizational or functional activities related to alleged fraud , waste and abuse perpetrated by providers, members, facilities,… more
- CVS Health (Columbus, OH)
- … and abuse **Required Qualifications** + 1 year experience working on health care fraud , waste , and abuse investigatory and audits required. + Knowledge of ... etc. **Preferred Qualifications** + 1-3 years experience working on health care fraud , waste , and abuse investigations and audits required or equivalent… more
- CVS Health (Annapolis, MD)
- …referred to as COMAR. - - Over 3 years in healthcare field working in fraud , waste and abuse investigations and audits. - Strong analytical and research skills. ... Associate's degree with three additional years working in health care fraud , waste , and abuse investigations and audits. **Anticipated Weekly Hours** 40 **Time… more
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