• Investigator , Coding Special…

    Molina Healthcare (Milwaukee, WI)
    **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... School Diploma / GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years of experience working in… more
    Molina Healthcare (10/22/25)
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  • Investigator , Special…

    Molina Healthcare (Louisville, KY)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for… more
    Molina Healthcare (10/18/25)
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  • Fraud Investigator

    Blue KC (Kansas City, MO)
    …**Employee discount program** **Job Description Summary:** As part of Blue KC's Special Investigations Unit (SIU), the Fraud Investigator conducts reviews to ... and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator , evaluate FWA risks and prioritize for further review, based upon member… more
    Blue KC (10/16/25)
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  • Healthcare Fraud Investigator *Clinical

    Sanford Health (Fargo, ND)
    …data analytics, investigation, claim auditing and other areas related to Special Investigations. Completes reports of investigative findings and recommends ... investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred -… more
    Sanford Health (09/10/25)
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  • Investigator

    Highmark Health (Montpelier, VT)
    …be conducted onsite or offsite. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential ... agencies through closure of the case. Conduct audits for proactive and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL… more
    Highmark Health (10/24/25)
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  • Clinical Investigator

    MVP Health Care (Rochester, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... investigation experience involving economic or insurance related matters. + A clinical investigator must have in addition to the above requirements: A duly licensed… more
    MVP Health Care (09/20/25)
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  • Locksmith

    The County of Los Angeles (Los Angeles, CA)
    …in the master key system. Establishes, expands, and modifies master key coding systems. Issues keys and locks and keeps related distribution records. Operates ... objects weighing over 25 pounds, and frequent lifting of 10-25 pounds. SPECIAL REQUIREMENT INFORMATION *Journey-level experience applies to a person who has… more
    The County of Los Angeles (09/03/25)
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