• Fraud and Waste Investigator

    Humana (Lansing, MI)
    …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 involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement… more
    Humana (11/21/25)
    - Related Jobs

  • Regulation Agent 9-P11 ( Fraud…

    State of Michigan (Oakland, MI)
    Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG (Oakland County) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5145616) Apply  ... Regulation Agent 9-P11 ( Fraud Investigator ) - MDHHS OIG (Oakland County) Salary $2,056.00 - $3,155.20 Biweekly Location Oakland, MI Job Type Permanent Full Time… more
    State of Michigan (11/23/25)
    - Related Jobs

  • Investigator , Special Investigative Unit…

    Molina Healthcare (Detroit, MI)
    …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
    Molina Healthcare (11/24/25)
    - Related Jobs

  • Senior Investigator , Special…

    CVS Health (Lansing, MI)
    …the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
    CVS Health (11/19/25)
    - Related Jobs

  • Lead Investigator , Special Investigative…

    Molina Healthcare (Detroit, MI)
    …delivery systems + Understanding of datamining and use of data analytics to detect fraud , waste , and abuse + Proven ability to research and interpret regulatory ... position must have the ability to determine correct coding, documentation, potential fraud , abuse, and over utilization by providers and recipients. The position… more
    Molina Healthcare (11/21/25)
    - Related Jobs