Fraud Investigator
Community Care Plan
Community Care Plan is seeking a Senior Healthcare Fraud Investigator to lead and execute investigations into fraud, waste, and abuse within Medicaid programs. The role emphasizes hands-on data analysis, case development, and end-to-end management from identification to resolution. You will analyze claims activity, interview providers and members, prepare comprehensive reports, and collaborate with compliance, legal, and regulatory agencies to support investigations and reporting requirements. #J-18808-Ljbffr
- ...JOB SUMMARY Responsible for assisting with fraud and security related initiatives by providing support to the Bank’s Fraud/Security... ...department and program oversight. ESSENTIAL DUTIES AND RESPONSIBILITIES Investigate, review and analyze cases of fraud, examining data to ensure...SuggestedBank staffWork at office
- ...About the Role Employee Benefits Corporation is hiring for a Fraud Prevention Analyst. In this role, you’ll help protect EBC and... ...fraud risks across our products and operations. You’ll combine investigation, analytics, and risk management to uncover patterns, strengthen...SuggestedWork at officeRemote workFlexible hours
- ...(Remote) to provide technical and project leadership across analytics engagements. You will leverage global data from our real-time fraud platform to craft solutions for enterprise customers and drive strategic projects, reducing fraud losses and increasing profitability...SuggestedRemote work
- ...The FIU Fraud Data Analyst at SouthState Bank uses data and fraud analytics to identify, investigate, and mitigate financial crime risks. The role analyzes large datasets, fraud alerts, and activity across channels to support risk-based decisions and strengthen controls...Suggested
$28.13 - $29.79 per hour
.... Since 1951, we’ve been committed to delivering financial services founded on integrity and a people-first philosophy. As a Fraud Investigator I , you will help protect the credit union and its members by investigating potential fraud, reviewing fraud cases, and supporting...SuggestedHourly payTemporary workWork at officeLocal areaMonday to FridayFlexible hours2 days per week- ...Fraud Investigator II – Accounting & Finance, Vaco Overview We are seeking a Fraud Investigator II to join our Corporate Fraud Investigations and Security team. In this role, you will manage and investigate cases of internal and external fraud, including check, wire,...Full time
- ...Space Coast Credit Union (SCCU) is seeking a Fraud Investigator I to join our Miramar Operations Center. The role investigates potential fraud, reviews cases, and supports loss prevention while partnering with Legal, Compliance, and Operations to strengthen detection...Work at office
- ...The Fraud Investigator helps protect Seacoast Bank and its customers by thoroughly investigating and documenting fraud cases, identifying emerging fraud trends, and taking swift action to recover funds. ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide end‑to ‑end management...
- ...and clinical evaluation of the collected data Performs in-depth investigations on identified providers as warranted Examines claims for... ...related experience Minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area Advanced Excel skills, including...
- BrightStar Credit Union in Cooper City, FL, is seeking a Fraud Investigator to join our risk and compliance team. This full-time clerical role focuses on processing fraudulent items, reviewing transactions, and supporting BSA/AML investigations. We emphasize outstanding...Full time
- ...Manages the Fraud Investigation team and their overall effectiveness by assisting them in the use of their day to day applications Ensure day-to-day Operations are performed according to agreed Service Level Agreements Maintains an effective complaint case management system...
$70k - $85k
...We are currently seeking an entry‑level Staff candidate with up to two years of public accounting experience to work within our Investigative Accounting Group. We offer a flexible, hybrid work environment. The majority of our engagements involve working with commercial...Work experience placementLocal areaFlexible hoursNight shift$85k - $115k
...members, attorneys, and clients. Analyze complex financial data to identify patterns and trends. Conduct thorough financial investigations to uncover discrepancies and irregularities. Ensure compliance with all relevant standards and regulations. Manage assigned tasks...Full time- ...We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands‑on investigation of potential fraud, waste, and abuse (FWA). This role is ideal for someone who thrives on digging into data, managing complex cases, and driving...Work at officeRemote work
$22 - $23 per hour
Job Description - Overview Do you have experience in retail loss prevention and want to work for a company that believes in apprehending and prosecuting criminals? The Loss Prevention Department for Hobby Lobby is seeking a full‑time In‑Store Loss Prevention Agent to protect...Hourly payFull timeLocal areaFlexible hoursWeekend work$16.6 - $20.8 per hour
...Continually monitors the hazard materials storeroom and cleans up spills. Walks throughout the facility and conducts general investigations. Use computers and office equipment. Must read Standard Operating Procedures, hear fire/security alarms and phones, and be able...Hourly payWeekly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift workNight shiftWeekend workDay shiftAfternoon shiftEarly shift- ...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. JOB SPECIFIC TASKS Follow company and department safety and...Hourly payFull timeTemporary workImmediate startShift work
- General Job Description Protect and safeguard all hotel guests and associates, their belongings and all hotel assets. Respond rapidly to requests for emergency and non-emergency assistance in a professional manner. This private employer offers a Competitive Compensation...
$98.53k - $140.75k
Chief InspectorAt HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is empowered to bring their authentic selves and novel ideas to work every day. As we foster a culture of inclusion...Full timeTemporary workPart time- ...serves as the principal authority for quality assurance and regulatory compliance and has the organizational freedom to identify, investigate, and correct quality issues without compromise. The ideal candidate is a servant leader who understands that quality exists to...Worldwide
- ...Description Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect... ...insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients...Flexible hours
- Please take this opportunity to join one of GDIT’s fastest long-standing growing programs! US Battlefield Information Collection and Exploitation System eXtended (US BICES-X) is a cutting-edge program supporting DoW intelligence information sharing on current and emerging...Work experience placement
- ...J T Becker & Co Inc is looking for skilled Field Investigators in New York to provide expert investigative services on an as-needed basis... ...seeking flexible hours to investigate insurance claims, including fraud and liability. The ideal candidate will conduct diverse...Flexible hours
- Quest Diagnostics Incorporated is seeking a Phlebotomist in the Town of Florida, New York. The candidate will ensure the accurate collection and transport of specimens while providing exceptional customer service. Responsibilities include maintaining records, adhering to...
- Quest Diagnostics is seeking a Mobile Examiner to provide field coverage for mobile exams, ensuring accuracy and timeliness. Responsibilities include specimen collection, venipuncture, and processing, while maintaining a professional environment for applicants, clients,...
- The City of New Smyrna Beach Development Services Department is seeking a Plans Examiner! Address: 214 Sam's Ave, NSB FL 32168 Hourly Rate: $31.5846 - $36.5631 Depending on Qualifications Working Schedule: Monday - Friday 7:00AM-4:00PM About the Job! The Plans Examiner ...Hourly payLocal areaMonday to Friday
$19 - $20 per hour
...Head HR Recruiting and Consulting in Palm Beach Gardens, FL seeks a Background Check Investigator to research and process employee background screening requests, including reference verifications and public record searches. The role requires attention to detail and solid...Hourly payRemote work- ...J T Becker & Co Inc is seeking experienced Field Investigators for as-needed roles within Florida. This is ideal for licensed investigators looking for flexible hours while providing expert services in various insurance claims investigations. The successful candidate will...Flexible hours
$21.82 - $42.55 per hour
...Molina Healthcare is seeking candidates for a role focused on investigating medical provider coding fraud, waste, and abuse (FWA). The position requires independent assessment of medical claims, adherence to regulatory standards, and effective communication within teams...Hourly pay$45k - $65k
....00 - $65,000.00 Salary/year Loyalty MGA is looking for a SIU Investigator to identify and investigate potential fraudulent claims. This... ..., and collaborating with internal teams to prevent and detect fraud. The ideal candidate will have a keen eye for detail, strong investigative...Work at officeTrial period
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