and continuous improvement. To achieve this, we're looking for a Clinical Investigator to join #TeamMVP. This is the opportunity... of professional investigation experience involving economic or insurance related matters. * A clinical investigator...
Healthcare Fraud Investigator – Medicare Dallas, TX (OR) Houston, TX – preferred Will consider work from Home in TX... and abuse. Preferred Skills/Experience: Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator Prior...
Healthcare Fraud Investigator – Medicare Dallas, TX (OR) Houston, TX – preferred Will consider work from Home in TX... and abuse. Preferred Skills/Experience: Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator Prior...
Social Services Investigator will investigate potentially fraudulent activities of self-directed PCAs, PCA, and Homemaker... to DSS and evaluate possible agency action using various resources Develop detailed fraud referral reports Work closely...
Investigator (Fraud and Resources). MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED College training may be substituted for the... Investigator will investigate potentially fraudulent activities of self-directed Personal Care Attendants (PCAs), PCA...
from financial harm? As a Fraud Investigator Specialist, you will play a critical role in identifying, investigating, and resolving... activity related to employees & third-party vendors/service providers, in accordance with lawful fraud examination techniques...
TITLE: SR INVESTIGATOR STATUS: EXEMPT REPORTS TO: FRAUD PREVENTION AND RISK INVESTIGATIONS MANAGER DEPARTMENT: FRAUD... following certifications or equivalent: Professional Certified Investigator (PCI), Certified Fraud Investigator (CFI), Certified...
Description The Department of Revenue has an exciting opportunity for a Fraud Investigator - Investigator 3 position... over to the Unclaimed Property program. The Fraud Investigator is part of a team that manages the unit's fraud and risk...
. We are looking to add a Fraud Investigator to our SGS team of talented professionals. What you'll do: The Fraud Investigator is expected..., and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse...
Description We are hiring an Associate Fraud Investigator who will assist in the detection, investigation... and resolution of fraud cases. Will work closely with the Fraud Investigators to identify suspicious fraud activity, gather...
. We are looking to add a Fraud Investigator to our SGS team of talented professionals. What you'll do: The Fraud Investigator is expected..., and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse...
Fraud Examiner-CFE, Certified Financial Crimes Investigator-CFCI, Certified Anti-Money Laundering Specialist-CAMS...Job Purpose & Scope: Responsible for performing fraud incident investigations and case management, including...
Fraud Examiner-CFE, Certified Financial Crimes Investigator-CFCI, Certified Anti-Money Laundering Specialist-CAMS...Job Description: Job Purpose & Scope Responsible for performing fraud incident investigations and case management...
they are applying for a position in FRM that will eventually move to CDH and will not be a traditional Fraud Investigator role. 1..., account takeover, identity theft, new account fraud, elder exploitation, and other types of fraud. The Fraud Investigator...
The Office of the Attorney General Department of Law Medicaid Fraud - Investigator Salary: High 50's (minimum... filled through this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties...
The Attorney General's Office is not a law enforcement agency. This law enforcement position is an investigator... in a legal office. Under limited supervision, investigate Medicaid Recipient Fraud complaints, focusing on recipients...
we operate in. JOB SUMMARY The Senior Fraud Investigator conducts investigations and gathers intelligence for the purpose..., enterprise risk and materiality, and the department's role in identifying fraud, assessing control weaknesses and protecting...
Anticipated End Date: 2025-10-31 Position Title: Clinical Fraud Investigator II - Registered Nurse and CPC - Carelon... Payment Integrity SIU Job Description: Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment...
Overview: Presbyterian is seeking a talented Coder-Healthcare Fraud Investigator. The SIU Investigator III supports... Care Fraud Investigator (AHFI) Responsibilities: Conduct complex investigations involving providers, pharmacies...
Overview: Presbyterian is seeking a talented Coder-Senior Healthcare Fraud Investigator The Senior Investigator.... CPC or equivalent required Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) preferred...