- Geisinger (Danville, PA)
- …necessary to successfully perform the job. This posting reflects an opening for Investigator Fraud Waste and Abuse and we are seeking candidates for that ... applicants for higher levels of this role to include Investigator II Fraud Waste and Abuse based on their skills, qualifications, and experience. We… more
- Independent Health (Buffalo, NY)
- …preferred. + Five (5) years of experience in the healthcare field working in fraud , waste and abuse investigations and audits; insurance claims ... benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Fraud Investigator will develop, implement and administer the IH anti-… more
- State of Massachusetts (Boston, MA)
- …and MBTA employees to report suspected fraud , waste and abuse in public transportation spending. *Senior Investigator : Position Overview * The Senior ... is an independent agency charged with preventing and detecting fraud , waste and abuse in...teams, including lead investigators, investigators and analysts. The Senior Investigator will also review case teams' workpapers and analyses… more
- Molina Healthcare (NE)
- …investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste , and abuse . Duties include performing accurate and ... to the SIU to assess and determine whether potential fraud , waste , or abuse is...Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud… more
- CVS Health (Columbus, OH)
- …and abuse **Required Qualifications** + 1 year experience working on health care fraud , waste , and abuse investigatory and audits required. + Knowledge ... depositions, etc. **Preferred Qualifications** + 1-3 years experience working on health care fraud , waste , and abuse investigations and audits required or… more
- City of New York (New York, NY)
- …as Senior Investigators, who will: - Conduct complex investigations into allegations of fraud , waste , and/or abuse of social services benefits administered ... 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… more
- Molina Healthcare (NM)
- …investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste , and abuse . Duties include performing accurate and ... may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to...and/or health plan members in order to determine whether fraud , waste , or abuse may… more
- MTA (New York, NY)
- …high-level and complex investigations into allegations of misconduct, including use of force, abuse of authority, fraud , waste , abuse , workplace ... Senior Investigator Job ID: 11371 Business Unit: Bridges and...Due Date: April 29, 2025 Functional Job Title: Senior Investigator Department/Division: Internal Affairs Work Location: Randalls Island, NY… more
- MTA (New York, NY)
- …of the MTA capital construction contracts, processes, procurement, billings, and management to identify fraud and abuse , and to see that any wrongdoers are held ... Construction Auditor/ Investigator Series Job ID: 10587 Business Unit: MTA...disciplines. Construction oversight staff investigate allegations of wrongdoing or fraud and conduct proactive reviews to identify and uncover… more
- AmeriHealth Caritas (Washington, DC)
- …+ Ensures compliance with all requirements related to Special Investigation Units and fraud , waste and abuse investigations. + Conducts investigations of ... Falls Church VA. Site visits required as needed. The Investigator is responsible for conducting comprehensive investigations of reported,...potential; fraud , waste and/or abuse with a focus on… more