- Humana (Baton Rouge, LA)
- …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
- Amazon (Arlington, VA)
- …a data-driven, highly motivated, eager to identify threat actors, and organized Investigator of Corporate Fraud Prevention. The selected individual will support ... such as invoices and payments as indicators of theft, fraud , waste or abuse. We are looking...clear, concise and persuasive narrative creation that documents complex fraud investigations, new program ideas, and periodic senior… more
- CVS Health (Sacramento, CA)
- …more personal, convenient and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- Fallon Health (Worcester, MA)
- …is a plus, such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or other coding certifications or similar in the ... summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical...Director of Internal Audit in their leadership of the Fraud , Waste and Abuse (FWA) program. The… more
- CareFirst (Baltimore, MD)
- …**Education Level:** Bachelor's Degree. **Licenses/Certifications Preferred:** + Certified Insurance Fraud Investigator (CIFI) and + Certified Expert Coder-AHIMA ... 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)
- …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
- Molina Healthcare (Hartford, CT)
- **Job Description** **Job Summary** The SIU Senior Investigator position is primarily responsible for supporting the day to day operations and initiatives of the ... team-oriented **Required License, Certification, Association** * Accredited Health Care Fraud Investigator (AHFI) designation - certification **Preferred… 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
- Commander, Navy Installations (Everett, WA)
- …2) Evaluating the extent of compliance with policies and procedures to deter fraud , waste , or mismanagement; 3) Assisting in the evaluation of strengths ... Summary You will serve as a REGION INSPECTOR/ INVESTIGATOR in the Inspector General Division of COMMANDER,...individuals, organizations, or contractors or vendors. You will advise senior managers or supervisors within a command to offer… more