Fraud Investigator
Purisolve
Purisolve, Inc. is seeking a qualified Medicaid Investigator to support fraud and compliance investigations under the Northeast UPIC contract. This position focuses exclusively on Medicaid-related investigations in Northeast area, addressing potential fraud, waste, and abuse in the region’s healthcare delivery system. The ideal candidate has experience conducting investigations in Medicaid environments—particularly for or with CMS contractors—and demonstrates strong interviewing, analytical, and #J-18808-Ljbffr
- ...risk-informed decisions.Within GR&S, the Enterprise Security and Fraud (ES&F) sub-division is responsible for the global protection... ...controls in new features and participant journeys.Support Investigations & Insights: Provide analytical support for fraud cases, root cause...SuggestedFull timeVisa sponsorship
- ...advice so that across Vanguard leaders and crew drive faster, stronger, risk-informed decisions.Within GR&S, the Enterprise Security and Fraud (ES&F) sub-division is responsible for the global protection of Vanguard crew, property, data, and client assets. We are the trusted...SuggestedFull timeVisa sponsorship
- ...Fraud Analyst At Customers Bank, we believe in working hard, working smart, working together to deliver memorable customer experiences... ...experienced Fraud Analyst to join our Fraud Prevention and Investigations team at Customers Bank. As a Fraud Analyst, you will play a...SuggestedLocal area
- About the Role Employee Benefits Corporation is hiring for a Fraud Prevention Analyst. In this role, you’ll help protect EBC and our... ...risks across our products and operations. You’ll combine investigation, analytics, and risk management to uncover patterns, strengthen...SuggestedWork at officeRemote workFlexible hours
- ...Fraud Analyst Protects customers and the bank by detecting fraud early and strengthening fraud prevention practices across payment... ...disabilities to perform the essential functions. Detect, investigate, and respond to fraud activity across payment and deposit...SuggestedWork at officeLocal areaRemote work
- ...integrity platform pairs analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid, Commercial, and... ...and customer success, but you will not manage anyone. Strong investigators here come from healthcare payer/vendor backgrounds or from investigative...
$85k - $105k
...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...Full timeWork experience placementWork at officeLocal area$23 - $30 per hour
...Job Type Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part of a dynamic team. This is a great opportunity for individuals with prior claims investigation...Hourly payPart timeSecond jobWork at officeRemote workFlexible hoursNight shift- Signature is looking to add a Field Consultant to cover Central Pennsylvania Get in Front of Our Recruiter Faster! To ensure your application is reviewed quickly, apply directly on our careers page: Career Site For over 30 years, Signature Companies has been an ...Extra incomeFor contractorsLocal area
- ...(WYFEAT). This multi-agency team undertakes complex criminal investigations, safeguarding victims and vulnerable adults in the community and... .... The types of cases WYFEAT investigates include scams, fraud, doorstep crime, and other financial abuse by family, friends,...Flexible hours
- Job Description Accurate intel is the cornerstone of mission success, and it's up to the Signals Collector/Analyst to locate, identify, collect, and exploit enemy communications to extract this information. Using intercept devices, these Soldiers will identify hostile ...Part timeWeekend work
- If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Forensic Scientist Full Time Technical Bensalem, Bensalem, PA, US 3 days ago Requisition ID: 1044 Summary: TheForensicScientisthasprimaryresponsibilityforperformingtoxicologytestingonbloods...Full time
- ...order to protect assets. Represent the Company in criminal actions as result of apprehensions made. Participate in special investigations when assigned. Bring loss vulnerabilities existing in any assigned store, along with recommendations, to the attention of...Local areaShift work
- ..., those who join the Secret Service are courageous, intelligent, strong and determined. A diverse team capable of balancing our investigative mission and fulfilling our protective legacy. Proven to be worthy of trust and confidence. Be tomorrow's Secret Service. Duties...Part timeImmediate startRelocation
- ...Accounting and Business Valuation Services team. This role offers the opportunity to work on complex engagements involving financial investigations, litigation support, and valuation services, while collaborating with a dynamic team of professionals. Full-time or part-time...Full timePart timeWork at officeLocal areaRemote workShift work
- ...• Ability to follow detailed instruction, processes and create detail-oriented client deliverables • Excellent analytical and investigative skills • Strong written and oral communication skills • Highly analytical, strong problem-solving ability • Ability to interface...Work at office
$14.55 - $20.4 per hour
...maintains confidentiality Observes, apprehends, and/or deters any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are consistent with store theft activity Completes and distributes...Hourly payTemporary workLocal areaHome officeFlexible hours- ...Description Manages the Loss Prevention responsibilities in multiple distribution centers including inventory shrink/gains, investigations and physical security. Trains DC personnel on proper Loss Prevention procedures and identification of common shrink indicators....Full timeTemporary workPart timeLocal areaImmediate startFlexible hours
$22.25 - $34.5 per hour
...Prevention Supervisor you will improve company profitability by executing company programs around external theft deterrence, internal investigations and operational shortage. You will increase associate awareness of shortage opportunities through training, lead and influence...Full timeTemporary workPart timeLocal areaFlexible hours$24.53 per hour
...confidentiality of all Security/Loss Prevention and property reports/documents; release information only to authorized individuals. Conduct investigations and gather evidence. Conduct interviews with relevant parties. Follow all company policies and procedures; report accidents,...Hourly payFull timeWork experience placementWorldwideShift workNight shift- Job Summary Store Detectives are key players in serving their assigned locations in the detection and apprehension of shoplifters. Job Description Experience Required: 0 to 1 year Experience Desired: Experience working in a retail grocery environment...
- ...Job Description Job Description Senior Civil Health Care Fraud Investigator Employment Type: Full Time, Mid-Level Department: Litigation Support CGS is seeking a Senior Civil Health Care Fraud Investigator to join our team supporting the legal mission...Full timeInterim roleWork at officeLocal areaFlexible hours
$107k - $133.8k
...including access control, surveillance systems, alarm systems, and visitor management.* Lead shrink reduction programs, theft investigations, and fraud prevention initiatives.* Conduct risk assessments & security audits to identify vulnerabilities & implement corrective...Contract workWork experience placementLocal area- Summary THIS IS NOT AN OPEN JOB ANNOUNCEMENT** This is a public notice for Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S. Citizens. A job announcement will be posted on USAJobs on April 20th, July 20th, and October 19th, 2...Permanent employmentLocal areaRelocationTrial periodWeekend work
$25 - $26 per hour
Job Title Loss Prevention Agent Location 320 W. Dekalb Pike, 19406 Compensation Starting range: $25.00 - $26.00 per hour Role Overview This full‑time In‑Store Loss Prevention Agent conducts undercover, plain‑clothes surveillance to detect, deter, and apprehend shoplifters...Hourly payFull timeLocal areaFlexible hoursWeekend work$25 - $32 per hour
...national leader?Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your SIU expertise. Our... .../Claims investigation experience as a Private Investigator or Fraud Investigator and live in the Philadelphia area.Resume and questionnaire...Full timeLive inFlexible hours$77 per hour
Position Summary Valor is seeking independent contractors (1099) Nurse Practitioners, Physician Assistants, and Physicians to join our growing network to conduct Compensation & Pension Exams for Veterans applying for disability compensation from the Department of Veteran...Contract workFor contractors- ...shrinkage control and improves safety in the stores through proper investigation and training. This position is responsible to provide feedback... ...) to discover and/or confirm company policy violations and/or fraud in addition to reviewing markdown reports, generic sku, and...Immediate startFlexible hoursNight shift
- Requisition Number: 29670 At UGI Utilities, Inc. we believe in providing a superior range of energy products and services to our customers in a safe, affordable manner. As our energy needs evolve, UGI will be there providing safe and reliable service that brings warmth ...For contractors
$26.5 - $27.55 per hour
Pay Rate: $26.50/hr to $27.55/hr Shift : Monday through Friday | 7:00AM to 3:00PM; 1PM - 9PM, 8:15AM - 4:15PM | Work 2 to 4 days a week Job Summary - Patrols school facilities and grounds to prevent disruptive or illegal actions, access to restricted areas, theft...Part timeWork at officeMonday to FridayShift workRotating shift2 days per week
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