• Fraud Investigator

    Robert Half Accountemps (Davenport, IA)
    Description Our client is growing and we are recommending a detail-oriented and driven Fraud Investigator to join their team. As part of the Fraud and Risk ... independently and collaboratively, this could be a great role for you. As a Fraud Investigator , you will: + Monitor, review, and analyze fraud alerts to… more
    Robert Half Accountemps (09/12/25)
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  • Clinical Fraud Investigator II…

    Elevance Health (West Des Moines, IA)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
    Elevance Health (11/04/25)
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  • Investigator , Special Investigative Unit…

    Molina Healthcare (Des Moines, IA)
    …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 (09/22/25)
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  • SIU Investigator - Part-Time

    Allied Universal (Des Moines, IA)
    …+ One or more of the following professional industry certifications: + Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator ... Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with red… more
    Allied Universal (10/17/25)
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  • Investigator

    Highmark Health (Des Moines, IA)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti- fraud program which includes development and delivery of training and filing of … more
    Highmark Health (10/24/25)
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  • Senior Fraud and Waste Investigator

    Humana (Des Moines, IA)
    …of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
    Humana (11/04/25)
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  • Senior Fraud and Waste Investigator

    Humana (Des Moines, IA)
    …of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing the monitoring ... and enforcement of the Fraud , Waste, and Abuse (FWA) program. This role aims...to enhance the program's transparency and accountability. The Senior Fraud and Waste Professional also conducts investigations into allegations… more
    Humana (11/01/25)
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  • Fraud and Waste Investigator

    Humana (Des Moines, IA)
    …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...appropriate courses of action. **Where You Come In** The Fraud and Waste Professional 2 coordinates investigation with internal… more
    Humana (11/04/25)
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  • Manager, Fraud & Waste Investigation (Nurse…

    Humana (Des Moines, IA)
    …of our caring community and help us put health first** The Manager, Fraud and Waste Investigator : Nurse Audit/Review performs clinical audit/validation processes ... of objectives and determines approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator : Nurse Audit/Review validates and interprets… more
    Humana (11/04/25)
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  • Surveillance Investigator - Experienced

    Command Investigations (IA)
    …excellence. What you'll get: + A dedicated position as a surveillance investigator . + A steppingstone into the realms of investigations, security, and law ... + Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Be able to hold...surveillance + Be able to hold a valid Private Investigator license - where applicable. + Possession of a… more
    Command Investigations (09/29/25)
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