- Humana (Oklahoma City, OK)
- …part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, ... who will oversee the monitoring and enforcement of the fraud , waste , and abuse (FWA) compliance program...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of ... fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of… more
- State of Massachusetts (Boston, MA)
- …report suspected fraud , waste and abuse in public transportation spending. * Senior Investigator : Position Overview * The Senior Investigator will ... is an independent agency charged with preventing and detecting fraud , waste and abuse in the use...case teams, including lead investigators, investigators and analysts. The Senior Investigator will also review case teams'… more
- City of New York (New York, NY)
- …federal and state data sources. BFI is recruiting for three (3) Fraud Investigator II to function as Senior Investigators, who will: - Conduct complex ... Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR...investigations into allegations of fraud , waste , and/or abuse of social services… more
- CVS Health (Topeka, KS)
- …and abuse **Required Qualifications** + 3 years three years working on health care fraud , waste , and abuse investigatory and audits required. + Knowledge of ... Anti- Fraud Association (AHFI), or have a minimum of three years Medicaid Fraud , Waste and Abuse investigatory experience. + Billing and Coding certifications… more
- CVS Health (Baton Rouge, LA)
- …experience working with Medicaid. - Over 3 years in healthcare field working in fraud , waste and abuse investigations and audits. - Proficient in researching ... Associate's degree with three additional years working in health care fraud , waste , and abuse investigations and audits. **Anticipated Weekly Hours** 40 **Time… more
- CVS Health (Columbus, OH)
- …to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste , and abuse. Also reports suspected fraud , ... + 3-5 years of Investigative experience in the area of healthcare fraud , waste and abuse. + Knowledge of medical terminology/CPT/HCPCS coding. + Experience in… more
- MTA (New York, NY)
- …Full-Time - 8:30 am to 5:00 pm (7.5 hours/day) Compensation: Construction Auditor/ Investigator : $83,592 - $104,490 Senior Construction Auditor/ Investigator : ... a license in a trade and five years of relevant experience. + For Senior Construction Auditor/ Investigator : A Bachelor's degree (in fields such as construction… more
- New York State Civil Service (New York, NY)
- …a license in a trade and five years of relevant experience. * For Senior Construction Auditor/ Investigator : A Bachelor's degree (in fields such as construction ... HELP No Agency MTA Inspector General, Office of Title Construction Auditor/ Investigator Series Occupational Category Other Professional Careers Salary Grade NS… more
- CVS Health (St. Paul, MN)
- …do it all with heart, each and every day. **Position Summary:** The Senior Clinical Investigator Consultant will support Medical Cost Management Solutions team ... prevent further fraudulent billing practices/schemes and manage complex investigations into suspected fraud , waste , and abuse (FWA). + Conduct a comprehensive… more