As a Fraud Investigator, you will investigate and research cases of identified fraud, fraud loss, or suspicious events to identify fraud rings and patterns, assist victims in resolving fraud events, and denying fraud claims identified as false through investigation. A primary responsibility of a fra...
As an Investigator, you can help put an end to it. ...
With increasing independence, the Investigator II is assigned to multiple provider types and serves as a senior investigator in the Unit. The Investigator II will coach other investigators on developing techniques to find provider schemes based on federal and state regulations that govern Medicaid. ...
As a Lead Investigator, you'll review claims, look for patterns of potential fraud, waste and/or abuse and interact with medical providers to complete investigations. Accredited Health Care Fraud Investigator (AHFI). ...
Command is seeking Full-Time Desktop Background Investigators, who will conduct detailed and in-depth background and social media investigations through online research using private and public database services, and other related investigative tasks. Honesty, integrity, self-reliance, resourcefulne...
Remote External Demand Investigations Team Investigator (EDIT). The EDIT Associate Investigator will be responsible for investigations, analysis, and preparation of reports and support of other defined functions of the External Demand Investigations Team (EDIT). ...
This position is a senior member of the corporate technical team and is a technical expert in one or more specific disciplines related to company's customer solutions.This position requires an individual capable of interfacing directly with customers as the project lead while also being the hands-on...
As a Lead Investigator, you'll review claims, look for patterns of potential fraud, waste and/or abuse and interact with medical providers to complete investigations. Accredited Health Care Fraud Investigator (AHFI) . ...
Certified Fire Investigator / Certified Fire & Explosion Investigator (CFI/CFEI) responsible for analyzing and interpreting fire and explosion scenes. Must meet all the requirements for qualification as a fire investigator per NFPA 1033. ...
Principal Investigator (Terrestrial Archaeology – Southwest). ...
Assist with mentoring and providing technical direction to other SIU Investigators. Provide training for SIU investigators as requested by the SIU manager. The SIU investigator is responsible for SIU investigations only. ...
This role will report to Head of Investigation, Claim in implementing field check with client’s family or neighbor to very information, checking document requirement, prepare pending letter/payment letter/declined letter and follow up progress of implementation.Check document requirement, prepare pe...
Credentialed Background InvestigatorJob Category: Service Contract ActTime Type: Full timeMinimum Clearance Required to Start: Top SecretEmployee Type: RegularPercentage of Travel Required: Up to 25%Type of Travel: Local* * *. Join CACI's Dynamic Team – Seeking Credentialed Background Investigators ...
Join our Special Investigations Unit as a Fraud Investigator, supporting our US Commercial Healthcare Business, r esponsible for conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. May represent company as a witness in judicial proceedings when ...
To use a variety of undercover investigative methods to conduct field investigations in PETA's focus areas, including the use of animals for food, clothing, experimentation, and entertainment.Primary Responsibilities and Duties:.Travel to different states and temporarily stay on location for various...
The Investigator independently performs in-depth evaluation and makes field level judgments related to investigations of potential Medicare fraud, waste and abuse investigations or cases that meet established criteria for referral to the Centers for Medicare & Medicaid for administrative action ...
The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation and prevention activities under the general direction of the Director or designee. ...
We’re looking for smart creatives, filled with positive energy, and a passion for building products people love.Check out our available positions around the world.If you can’t find what you’re looking for, check back often as new positions open up frequently.Insurance | Remote, United States.Associa...
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health.This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Anchored in our brand — with heart at its cente...
The Clinical Investigator Consultant handles the retrospective review of paid claims and evaluation of claims data to identify provider fraud, waste, or abuse. The Clinical Investigator will conduct in-depth analysis of peers, trends, and statistical data to identify providers whose utilization patt...
Property Subrogation Investigator is responsible for identifying subrogation opportunities in clients’ claims, and then developing and documenting the necessary information to submit demand packages to adverse parties. ...
As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through. This is not a physical investigator role. Preferred certifications:Accredited Healthcare Fraud Investigator (AHFI),Certified Fraud Specialist (CFS),Certified Fraud Examiner (CFE),Certifie...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Investigate al...
Senior Investigator, North America. To further that commitment, the Senior Investigator, North America will investigate moderate to complex reports made to the Ethics Office, or as otherwise instructed by the Ethics Office Leadership Team, to ensure the prompt and thorough investigation and resoluti...
Architectural Historian (Principal Investigator) . ...