• Fraud and Waste Investigator

    Humana (Harrisburg, PA)
    …analysis of situations or data requires an in-depth evaluation of variable factors. The Fraud and Waste Investigator collaborates in investigations with law ... health first** Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit....of all do you have a passion for combating Fraud , Waste , and Abuse in the Health… more
    Humana (12/24/25)
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  • Investigator

    Highmark Health (Harrisburg, PA)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... for conducting investigations of organizational or functional activities related to alleged fraud , waste and abuse perpetrated by providers, members, facilities,… more
    Highmark Health (12/12/25)
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  • Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... for conducting investigations of organizational or functional activities related to alleged fraud , waste and abuse perpetrated by providers, members, facilities,… more
    Highmark Health (12/18/25)
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  • SIU Investigator - Remote

    UPMC (Pittsburgh, PA)
    …Investigations Unit (SIU) Investigator is responsible for investigating assigned dental fraud , waste and abuse (FWA) cases, as well as researching and ... Health Plan has an exciting opportunity for a SIU Investigator ! This is a remote, full-time role working daylight...data analysis to identify, evaluate and measure potential healthcare fraud , waste and abuse to determine valid… more
    UPMC (01/07/26)
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