- Humana (Columbia, SC)
- **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...ACFE + Currently designated as an Accredited Health Care Fraud Investigator (AHFI) granted by NHCAA +… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr. Fraud Investigator SIU (Special Investigations Unit) assists in the implementation and daily operation of the organization's ... to perform interviews and obtain medical records/ and other relevant documentation. The Senior Investigator will also act as subject matter expert in researching… more
- Port Authority of New York and New Jersey (Hoboken, NJ)
- …corruption-free. To accomplish this, the OIG detects, receives, and investigates allegations of fraud , corruption, waste , and abuse with respect to employees, or ... Reporting to the Assistant Director of the Police Integrity Division, the Senior Confidential Investigator will participate in conducting highly sensitive,… more
- Providence (OR)
- …manage a workload with multiple cases and audits simultaneously + May assist Senior Investigator or SIU Director in developing, implementing and performing ... to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse to Health Plan...care fraud investigation, such as Accredited Healthcare Fraud Investigator (AHFI), Certification as an Internal… more
- Environmental Protection Agency (Washington, DC)
- …& investigations of the EPA to promote economy, efficiency, and to prevent and detect fraud , waste and abuse. We strive to provide solutions to problems that ... Headquarters of EPA OIG Office of Investigations. The Office investigates allegations of fraud , waste , abuse and misconduct that impact EPA programs and… more
- Washington Metropolitan Area Transit Authority (Washington, DC)
- …Advanced degree in criminal justice, law, accounting, or similar field. + Certified Fraud Examiner (CFE) or Certified Inspector General Investigator (CIGI) + ... Senior Special Agent Job ID: 240496 Location: DC...investigations of allegations or indications of employee misconduct and fraud , waste and abuse in METRO's operations… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Nursing, Criminal Justice, or similar field of study preferred. + Accredited Healthcare Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE) ... serve through our Healthsource blog: https://healthsource.premera.com . As a ** Senior Manager of the Special Investigation Unit (SIU)** ,...and refer to law enforcement as appropriate incidents of fraud , waste , and abuse (FWA) arising in… more