• Healthcare Fraud Investigator

    Sanford Health (Fargo, ND)
    …health insurance investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud ... in health insurance investigation/audit. Master's Degree preferred Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud more
    Sanford Health (09/10/25)
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  • Investigator

    Highmark Health (Pittsburgh, PA)
    …+ 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 (10/30/25)
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  • Senior Investigator , Special…

    CVS Health (Topeka, KS)
    …in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit ... you will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
    CVS Health (11/20/25)
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  • Healthcare Coding Subject Matter Expert

    General Dynamics Information Technology (Fairfax, VA)
    …rules. **Desired Qualifications** + Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) designation strongly desired. + ... **Public Trust/Other Required:** None **Job Family:** Ancillary Health **Skills:** Healthcare Fraud (Inactive),Insurance Fraud Investigations,Insurance… more
    General Dynamics Information Technology (11/11/25)
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  • Ops Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified Financial Crimes ... Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional, or other relevant certification, such as: Project… more
    MyFlorida (11/20/25)
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  • Ops Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified Financial Crimes ... Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional, or other relevant certification, such as: Project… more
    MyFlorida (11/26/25)
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  • Program Administrator - SES

    MyFlorida (Miami, FL)
    …related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified Financial Crimes ... Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional, or other relevant certification, such as: Project… more
    MyFlorida (11/21/25)
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  • Medical Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified Financial Crimes ... Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional, or other relevant certification, such as: Project… more
    MyFlorida (11/20/25)
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  • Inspector Specialist

    MyFlorida (Miami, FL)
    …related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator ; Certified Financial Crimes ... Investigator ; Certified Insurance Fraud Investigator ; Certified Compliance and Ethics Professional, or other relevant certification, such as: Project… more
    MyFlorida (11/20/25)
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  • Supervisor - Special Investigations Unit Clinical

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …continuous performance feedback and encourage growth and development of staff. * Accredited Healthcare Fraud Investigator (AHFI) in good standing through the ... military experience will be considered. * Experience using data analysis tools (eg Healthcare Fraud Shield, etc.) * 1+ years staff, team lead or project lead… more
    Blue Cross and Blue Shield of Minnesota (11/05/25)
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