• Investigator

    Highmark Health (Atlanta, GA)
    …+ Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge ... 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis… more
    Highmark Health (08/15/25)
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  • Investigator , Special Investigative Unit…

    Molina Healthcare (Milwaukee, WI)
    …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
    Molina Healthcare (08/15/25)
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  • Fraud Investigator Specialist

    City National Bank (Phoenix, AZ)
    * FRAUD INVESTIGATOR SPECIALIST* WHAT IS THE OPPORTUNITY? Responsible for performing and documenting through root cause analysis on clients' transactions ... activities that impact CNB's clients, and corporate losses. Additionally, the Fraud Investigator will quarterback internal events and investigation activities… more
    City National Bank (08/07/25)
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  • Investigator - Medicaid Fraud

    State of Georgia (Fulton County, GA)
    Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/67636/other-jobs-matching/location-only) Hot ... Sign Up for Job Alerts The Office of the Attorney General Department of Law Medicaid Fraud Division - Investigator The mission of the Department of Law is to… more
    State of Georgia (07/30/25)
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  • Senior Fraud & Waste Investigator

    Humana (Oklahoma City, OK)
    …**Required Qualifications** + **Must be an Oklahoma resident** + 2+ years of healthcare fraud investigations and auditing experience + Knowledge of healthcare ... 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 team… more
    Humana (08/08/25)
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  • Fraud and Waste Investigator

    Humana (Oklahoma City, OK)
    …Oklahoma resident** + Strong clinical experience to include multiple practice areas + Healthcare fraud investigations and auditing experience + Knowledge of ... us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of fraudulent and… more
    Humana (08/08/25)
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  • Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …* A minimum of 2 years' experience conducting comprehensive health care fraud investigations (Medical Coding or Healthcare (Medical Chart Review/Insurance ... part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of… more
    Humana (08/08/25)
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  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    …+ Independently or as lead in part of an assigned team develop and conduct healthcare fraud , waste, and abuse investigations of all levels (low to complex). ... **Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or… more
    CareFirst (07/12/25)
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  • CDOC - Criminal Investigator IV (Statewide)

    State of Colorado (Crowley County, CO)
    CDOC - Criminal Investigator IV (Statewide) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5037267) Apply  CDOC - Criminal Investigator IV ... + Independently investigate crimes in a prison facility; + As lead investigator / team leader, direct field investigations on a continuing basis, inclusive of… more
    State of Colorado (08/09/25)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    …Georgia Medicaid Program. Participates as a member of an interdisciplinary team in Healthcare fraud investigations, and provides support to members of other ... of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward...eligibility of providers as requested. + Assists prosecutors in Healthcare Fraud investigations by reviewing provider and… more
    State of Georgia (06/19/25)
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