- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,… more
- Humana (Oklahoma City, OK)
- …help us put health first** Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2 who conducts investigations of allegations of ... fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent… more
- Humana (Tallahassee, FL)
- …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
- Molina Healthcare (Idaho Falls, ID)
- …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
- City of Detroit (Detroit, MI)
- … Fraud Investigator performs complex investigative tasks relating to the fraud , waste or abuse committed against the Detroit Water and Sewerage Department ... Fraud Investigator Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5027572) Apply ...fair, thorough, unbiased and timely investigations into allegations of fraud , waste or abuse, committed by/against DWSD.… more
- CVS Health (Hartford, CT)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) + Certified Expert Coder-AHIMA or ... and resolution of all levels (low to complex), of fraud , waste , and abuse schemes, resulting in...fraud software analysis, and appropriately sourced reference materials. Investigator ensures timely maintenance and organization of case file… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The DSS Accountability ... state data sources. BFI is recruiting for three (3) Fraud Investigator II to function as Senior...who will: - Conduct complex investigations into allegations of fraud , waste , and/or abuse of social services… more
- USAA (San Antonio, TX)
- …Underwriting, law enforcement, and other agencies as appropriate.As a Mid-Level Life SIU Investigator for **Medicare Supplement Fraud , Waste , and Abuse** you ... processing, operations, or administrative experience. + 5 or more years healthcare fraud , waste , and abuse investigation and/or audit experience. + Advanced… more
- Office of Inspector General (Lombard, IL)
- Summary This office works within DOT to detect and prevent waste , fraud and abuse in departmental programs. The OIG reports to the Secretary and Congress and ... for planning, directing and conducting complex investigations of suspected fraud , waste , and abuse, and mismanagement in...have in the past worked as a GS-1811 Criminal Investigator in a federal OIG office must clearly demonstrate… more