- Sanford Health (Fargo, ND)
- …insurance investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) ... package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies. Respond to subpoenas and requests for… more
- Zelis (Boston, MA)
- … Fraud in prevention, detection, reporting, and monetary recovery related to financial fraud and healthcare fraud , waste, and abuse. What You'll Do ... it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare...interests that shape who you are. Position Overview The Fraud Investigation Analyst, Enterprise Fraud , will contribute… more
- New York State Civil Service (New York, NY)
- …detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. The Medicaid ... Agency Attorney General, Office of the Title Medical Analyst: Legal Nurse, Fraud /Patient Abuse (6413) Occupational Category Legal Salary Grade NS Bargaining Unit M/C… more
- New York State Civil Service (New York, NY)
- …data analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to ... General, Office of the Title Forensic Auditor: Investigate Complex Medicaid Fraud (6414) Occupational Category Financial, Accounting, Auditing Salary Grade NS… more
- Humana (Dayton, OH)
- …**Required Qualifications** + Must reside in Ohio + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare ... part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will… more
- State of Georgia (Fulton County, GA)
- …or more items below: + Attorneys with civil litigation experience, with an emphasis on healthcare or fraud matters. + Demonstrated ability to work in a team is ... Assistant Attorney General 1 - Medicaid Fraud -Civil Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/72524/other-jobs-matching/location-only)… more
- LA Care Health Plan (Los Angeles, CA)
- …or Related Field Experience Required: At least 7 years of experience in healthcare compliance, fraud investigations, law enforcement, or related field. At least ... Preferred And/Or any of the following Licenses/ Certifications: Certified Fraud Examiner (CFE) Certified HealthCare Compliance (CHC) Certified… more
- The Cigna Group (Bloomfield, CT)
- …active participation in industry and trade associations, including the National Healthcare Anti- Fraud Association (NHCAA). **Qualifications** + Law degree ... ** Fraud Senior Advisor - Special Investigations Unit (SIU)...(SIU) Matter Resolution** Our organization is a leader in healthcare services, committed to integrity, innovation, and excellence. We… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Public Trust/Other Required:** None **Job Family:** Ancillary Health **Skills:** Healthcare Fraud (Inactive),Insurance Fraud Investigations,Insurance ... for Medicare and Medicaid (CMS), you will be trusted to research healthcare fraud trends and draft supporting documenting for cross payer analytics for the… more
- Molina Healthcare (Cincinnati, OH)
- …insurance company + Minimum of two (2) years' experience working on healthcare fraud related investigations/reviews + Proven investigatory skill; ability to ... Certification, Association + Valid driver's license required. **Preferred Experience** + Healthcare Anti- Fraud Associate (HCAFA), Accredited Health Care Fraud… more
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