- Insight Global (Blue Ash, OH)
- …in the Blue Ash/Cincinnati, Ohio area is seeking a detail-oriented and analytical Fraud Investigator to join it's retail grocery Asset Protection team. This ... activity. Using data from the MAX Asset Protection system, the Fraud Investigator will identify suspicious patterns and investigate potential internal fraud… more
- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... alleged or suspected fraud involving the full range of products at the...lieu of formal educational requirements for the Lead SIU Investigator position may be considered.; + Valid driver's license… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts ... of healthcare fraud and abuse. Routinely handles cases that are sensitive...cases, or cases involving multiple perpetrators or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent… more
- Citizens (Cleveland, OH)
- Description Corporate Security and Resilience Investigator II position will lead investigations, including Internal investigations of a sensitive nature. Position ... software applications. + Bachelor's degree in finance or related field + Certified Fraud Examiner certification preferred. Hours & Work Schedule Hours per Week: 40… more
- CVS Health (Columbus, OH)
- …investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulations mandating fraud plans and practices. - Conducts investigations of known...Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and… more
- Centene Corporation (Columbus, OH)
- …NE, and OH.** **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims ... or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste,...abuse. + Conduct investigations of potential waste, abuse, and fraud + Document activity on each case and refer… more
- Deloitte (Cleveland, OH)
- …case dispositions + Holding meetings with Project Leadership to discuss investigator performance, issue management, and case escalation decisions + Providing ... financial institutions, including retail, wholesale and international banks, Trade Finance, Fraud , Retail Banking, Private Banking, and Wealth Management + 4+ Years… more