Dental FWA Investigator & Audit Specialist
Hawaii Dental Service
Hawaii Dental Service in Honolulu seeks a Fraud, Waste, and Abuse (FWA) Auditor/Investigator to conduct retrospective and prospective reviews, audits, and investigations of dental providers to identify fraud, waste, abuse, overpayments, and non-compliant billing practices. The role analyzes provider claims and clinical documentation, performs remote and onsite audits, prepares detailed reports, maintains case files, and collaborates with Claims Administration, Legal Counsel, and leadership to #J-18808-Ljbffr Hawaii Dental Service
$39k
Account & Supplier Risk Investigator I We are a team of dedicated analysts passionate about protecting our partners, customers, and our business... ...to support employees and their families, including medical, dental, and vision coverage; paid time off; an Employee Assistance...Dental$25 - $29 per hour
Honolulu , HI area Immediate need for an undercover investigator within the worldwide investigative solutions company. If you are an adventurous... ...allowance Company fuel card Company cell phone Medical, Dental, Vision plans Employer paid Life, LTD, STD insurance Company...DentalHourly payFull timeH2bH1bLocal areaImmediate startWorldwideFlexible hoursNight shift$24.94 - $28.85 per hour
...Manager, the primary responsibility will be to research in-depth investigations into fraud cases and analyze complex data and trends to... ...We cover 100% of employees single medical, drug, vision, and dental monthly health insurance premiums. Employees also love receiving...DentalHourly payFull timeWork at officeLocal areaMonday to FridayFlexible hours$50 - $57.5 per hour
...For: As a Clinical Documentation Quality Improvement (CDQI) Audit Specialist, you will be instrumental in evaluating the quality, accuracy... ...Benefits for Full-Time employees include comprehensive health, dental, and vision insurance. 401k Savings plan with match. Paid...DentalFull timeFlexible hours$35 - $45 per hour
...change in healthcare. Sign On Bonus: 2,500 As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and... ...What We Offer: Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off...DentalHourly payFull timeRemote workRelocation packageFlexible hours$6,221 - $7,568 per month
...D to I) Hiring rates will be based on availability of funds, the applicant's qualifications, and other relevant factors. The Investigator V level plans, organizes, directs and coordinates the activities of an investigative agency concerned with civil, administrative...Permanent employmentFull timeWork experience placementImmediate start$4,725 per month
...applications will be posted on the State of Hawaii's Civil Service Job Opportunities Listing page of our website. Positions in the Investigator series perform and/or supervise investigations concerned with suspected or actual violations of civil, administrative and/or...Permanent employmentFull timeTraineeshipWork at officeImmediate start$4,725 per month
The State of Hawaii, Department of the Attorney General, Child Support Enforcement Agency in Hilo, Hawaii Island, is seeking an Investigator II. The position is permanent full-time with a starting salary of $4,725 per month. As an advanced trainee in the Investigator series...Permanent employmentFull timeTraineeship- State of Hawaii's Department of Commerce & Consumer Affairs is seeking an Investigator IV for a permanent full-time position. The role involves performing and supervising investigations into suspected or actual violations of civil, administrative and criminal laws, with...Permanent employmentFull time
$5,107 - $6,221 per month
...applications will be posted on the State of Hawaii's Civil Service Job Opportunities Listing page of our website. Positions in the Investigator series perform and/or supervise investigations concerned with suspected or actual violations of civil, administrative and/or...Permanent employmentFull timeWork at office$4,725 per month
...be posted on the State of Hawaii's Civil Service Job Opportunities Listing page of our website. Duties Summary Positions in the Investigator series perform and/or supervise investigations concerned with suspected or actual violations of civil, administrative and/or criminal...Permanent employmentFull timeTraineeship- Expedia Group is seeking an Account & Supplier Risk Investigator I to help protect partners, customers and our business from unauthorized access and fraudulent activity. You will monitor activity across Expedia Group accounts and supply partners, making real-time risk...Flexible hours
- A government agency in Hawaii seeks a Child/Adult Protective Services Specialist in Lihue, Kauai. This position focuses on investigating and addressing allegations of abuse and neglect, entailing crisis management and direct engagement with families. Candidates need a...
- State of Hawaiʻi, Department of the Attorney General, Child Support Enforcement Agency (CSEA) in Hilo, Hawaii Island, seeks an Investigator III for a permanent full-time position. The role conducts and may supervise investigations into civil, administrative and/or criminal...Permanent employmentFull time
- State of Hawaii, Department of the Attorney General, Child Support Enforcement Agency (CSEA) in Hilo seeks an Investigator II for civil, administrative and criminal investigations. This permanent full-time position offers on-site work on Hawaii Island with opportunities...Permanent employmentFull time
$20 - $25 per hour
...to 5 PM Pay: $20.00 – $25.00 per hour (depends on experience) In-state candidates only Benefits Weekly Pay Medical/Dental/Vision/Prescription Free Online Skill Classes, EAP, Discounts & many more The Treasury Analyst supports the Treasury team with...DentalHourly payWeekly payFull timeWork at officeMonday to Friday$5,369 - $6,535 per month
Recruitment Number 25-0408 Position Investigator IV (Frontline Investigator) - Permanent, Full‑time - Department of Human Services, Ewa and Downtown, Hawaiian Islands Salary : $5,369 to $6,535 per month (SR‑22, Step D to I) Duties Summary Positions in the Investigator...Permanent employmentFull timeImmediate start$6,221 - $7,568 per month
Recruitment Number 26-0114 The current vacancy positions are permanent, full-time positions with the Department of Attorney General, Investigations Division. THIS JOB POSTING WILL REMAIN OPEN UNTIL 30 APPLICATIONS ARE RECEIVED. Salary $6,221 to $7,568 per month (SR-24,...Permanent employmentFull time- The State of Hawai'i is seeking a qualified Investigator V for the Internet Crimes Against Children (ICAC) Unit within the Department of the Attorney General. The role involves planning, directing, and coordinating investigations across civil, administrative and criminal...
$5,527 - $6,728 per month
...applications will be posted on the State of Hawaii's Civil Service Job Opportunities Listing page of our website. Positions in the Investigator series perform and/or supervise investigations concerned with suspected or actual violations of civil, administrative and/or...Permanent employmentFull timeWork at officeImmediate start- State of Hawai'i, Department of Human Services, is seeking qualified candidates for permanent, full-time Investigator positions in the Ewa/Honolulu area. Level III and Level IV duties include conducting investigations, gathering evidence, preparing reports, and, for Level...Permanent employmentFull time
$5,527 - $6,728 per month
...applications will be posted on the State of Hawaii's Civil Service Job Opportunities Listing page of our website. Positions in the Investigator series perform and/or supervise investigations concerned with suspected or actual violations of civil, administrative and/or...Permanent employmentFull timeImmediate start- The State of Hawaii seeks qualified candidates for Disability Compensation Enforcement Specialist roles in downtown Honolulu, Oahu, with salary ranges per level. Positions range from I to IV, all full-time with progressive responsibilities in enforcing disability compensation...Full time
- Position Specific Description Recruitment Number 26-158JC, Pre-Audit Clerk I, SR-11, Honolulu, Oahu. Summary of Duties Pre-audits and... ...enrollment in the state sponsored medical, drug, vision, and adult dental plans Free life insurance policy for employees and retirees...DentalWork experience placement
$29 - $41 per hour
...Leave for Full time Employees who work a minimum of 30 hours per week ~6 paid holidays annually ~ Medical, Prescription Drug, Dental & Vision Insurance effective Day 1 ~401(k) Retirement Plan with company match ~ Employer Paid Short-Term Disability & Life Insurance...DentalDaily paidFull timeTemporary work$16 - $20.4 per hour
...deters any acts of dishonesty from outside sourcesParticipates in investigations and surveillance as assignedEnsures apprehensions are... ...hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term...DentalHourly payTemporary workLocal areaHome officeFlexible hours$16 - $20.4 per hour
...any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are... ...hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term...DentalHourly payTemporary workLocal areaHome officeFlexible hours$21 - $26 per hour
...required Assist with any surplus lines audits, verifying transactions, documents, and... ...of the organization Independently investigate, research, and resolve issues that may arise... ...act decisively Perks ~ Health, dental, and vision plans ~ Amazing work-life...DentalFull timeRemote work$71.1k - $97.8k
...least one of these qualifications for 4 years) • MS-DRG coding/auditing experience • Experience reading and interpreting claims •... ...outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (...DentalBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$5,107 - $6,221 per month
The Department of Human Services in Ewa, Hawaii is seeking qualified individuals for permanent, full-time Investigator positions at Level III and Level IV. Level III salary ranges from $5,107 to $6,221 per month; Level IV from $5,527 to $6,728 per month. Hiring rates depend...Permanent employmentFull time
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