- SGI Global, LLC (Raleigh, NC)
- SGI Global is seeking a Civil Investigator ( Healthcare Fraud and Opioid Matters) to support Affirmative Civil Enforcement ("ACE") Program for the ... position is contingent upon contract award** Responsibilities + The Civil Investigator will assist in conducting thorough...extensive research and analysis of data relating to suspected civil violations, such as healthcare fraud… more
- SGI Global, LLC (Baton Rouge, LA)
- SGI Global is seeking an Affirmative Civil Enforcement (ACE) Investigator to support the United States Attorney's Office, Middle District of Louisiana to assist ... necessary for successful litigation. + Provide specialized investigative analysis relevant to fraud on federal programs or federal civil rights violations +… more
- MyFlorida (Fort Lauderdale, FL)
- …or education requirements of s. 943.135. Preference will be given to candidates with healthcare fraud investigative experience working in a Medicaid Fraud ... LAW ENFORCEMENT INVESTIGATOR II - 41001242 Date: May 31, 2024...experience, or five (5) years of work experience conducting healthcare fraud investigations. Note: All newly hired… more
- CDPHP (Albany, NY)
- …(4) years of equivalent experience required. + Designation as an Accredited Health Care Fraud Investigator preferred. + Incumbent must meet one of the minimum ... investigating complex insurance cases to detect internal and external fraud and abuse. The Special Investigator will...settlements on behalf of CDPHP or in preparation of civil suit. The Special Investigator will take… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …approach to uncover abuse and neglect of residents and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, ... INVESTIGATOR /SPECIAL AGENT (1-3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4500803) Apply ...cyber crimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud … more
- CVS Health (Baton Rouge, LA)
- … you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high ... involving multi-lines of business, or cases involving multiple perpetrators or intricate healthcare fraud schemes. - Investigates to prevent payment of… more
- CVS Health (Springfield, IL)
- … you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high ... cases involving multi-lines of business, or cases involving multipleperpetrators or intricate healthcare fraud schemes * Investigates to prevent payment of… more
- CVS Health (Tallahassee, FL)
- …Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud and abuse. - Routinely handles cases that are sensitive ... multi-disciplinary provider groups, or cases involving multiple perpetrators or intricate healthcare fraud schemes. - Investigates to prevent payment of… more
- Veterans Affairs, Inspector General (Buffalo, NY)
- …Office of the Counselor, Office of Audits and Evaluations, Office of Healthcare Inspections, Office of Investigations, Office of Management and Administration, and ... Responsibilities OIG's Office of Investigations (OI) investigates potential crimes and civil violations of law involving VA programs and operations committed by… more
- New York State Civil Service (Albany, NY)
- …a police officer within a major metropolitan area, experience in the area of fraud and white collar crime and at least three years of demonstrated internal ... capital district.. Must possess a valid driver's license. Current Certified Fraud Examiner, Certified Fraud Specialist, Certified Public Accountant, Certified… more
- CDPHP (Albany, NY)
- …Analyst will be responsible for researching, investigating, and resolving instances of healthcare fraud and/or abusive conduct by internal employees, the medical ... agencies to support a management decision to pursue criminal, civil or other recovery action on the basis of...Coder (COC) Certification is preferred. + Accredited Health Care Fraud Investigator (AHFI(R)) accreditation to be obtained… more
- Robert Half-Robert Half Corporate (San Ramon, CA)
- …Sexual Harassment, Discrimination, Wage and Hour, hostile work environment, and other civil rights violation calls. + Work with district leaders, field HRBP, and ... These investigations can involve various areas including compliance, ethics violations, fraud , harassment and other workplace misconduct. This role will ensure that… more