• Investigator , Special Investigative…

    Molina Healthcare (Dayton, OH)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
    Molina Healthcare (09/22/25)
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  • Special Investigator

    AmeriHealth Caritas (Columbus, OH)
    …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... **Major Accountabilities:** + Ensures compliance with all requirements related to Special Investigation Units and fraud, waste and abuse investigations. + Conducts… more
    AmeriHealth Caritas (10/22/25)
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  • Investigator , Coding Special…

    Molina Healthcare (Akron, OH)
    **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position… more
    Molina Healthcare (10/22/25)
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  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Mason, OH)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that… more
    Elevance Health (10/03/25)
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  • Investigator

    Highmark Health (Columbus, OH)
    …for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations ... members or any other individual(s) necessary to complete an assigned investigation or special project.Determines the scope of the allegation or special project… more
    Highmark Health (10/24/25)
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  • Surveillance Investigator 1

    Huntington National Bank (Columbus, OH)
    Description Summary: Surveillance Investigator 1s handle alerts pertaining to credit, non-credit, and money laundering, within diversified bank wide operations ... analysis of suspicious transactions with a high degree of accuracy + Conducts special projects as requested + Reports all process exception errors to executive… more
    Huntington National Bank (10/24/25)
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  • Senior Associate Scientist - Principal…

    Charles River Laboratories (Ashland, OH)
    …of studies, with minimal oversight. * Function as a Principal Investigator , Individual Scientist, and/or Project Scientist as assigned, with minimal oversight. ... liability. If you are interested in applying to Charles River Laboratories and need special assistance or an accommodation due to a disability to complete any forms… more
    Charles River Laboratories (10/18/25)
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  • Field Market Investigator

    Family Dollar (Marysville, OH)
    General Summary: The Market Investigator is responsible for confirming that the market's stores operations and daily functions comply with Company programs and ... suspected fraudulent activity to Loss Prevention Business Partners. + Assist with special projects that impact given market (ie Target Program and Shrink Impact… more
    Family Dollar (09/04/25)
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  • Investigator

    The Goodyear Tire & Rubber Company (Akron, OH)
    …gather and analyze information. + Support broader global security initiatives and special projects. **What We're Looking For** + Bachelor's degree in criminal ... justice or related field, required. + Minimum 1+ years of experience in investigations, law enforcement, or private security. + 2+ years prior experience in a corporate or enterprise setting is strongly preferred. **What Will Set You Apart** + Completion of… more
    The Goodyear Tire & Rubber Company (10/03/25)
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  • Certified Nurse Practitioner, Physician Assistant…

    Cleveland Clinic (Cleveland, OH)
    …IBD patients (including medical and surgical management and management of special populations, biologics and complications). We are currently accepting applications ... within the department and section and if the opportunity arises become a sub- investigator to a clinical trial. The fellow will attend a national IBD conference… more
    Cleveland Clinic (10/08/25)
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