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
- ...the state of Florida. JOB SUMMARY Responsible for assisting with fraud and security related initiatives by providing support to the... ...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
- ...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...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 officeMonday 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,...SuggestedFull 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
$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
...team 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...Full time$46.99k - $122.4k
...CVS Health, located in Town of Florida, New York, is seeking a Fraud Investigator with experience in healthcare fraud and abuse investigations. The role involves handling complex cases, conducting investigations, and documenting findings efficiently. The ideal candidate...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
$56.2k - $101k
Centene Management Company LLC is looking for a skilled investigator to focus on potential healthcare fraud and abuse activities. The candidate will analyze claims, conduct investigations, and prepare detailed reports for regulatory agencies. A Bachelor's degree in Business...Remote jobFlexible hours- 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...
- ...Crime Scene Investigator I-II job at Crime Scene Resources, Inc. Florida. Duties and Requirements Duties ESSENTIAL DUTIES The following duties are illustrative for this position. The omission of specific duties does not exclude them from the classification if the work...Work at officeLocal area
- A leading resort chain is seeking a Loss Prevention Officer to ensure guest and employee safety. The role includes patrolling the property, assisting in emergencies, and maintaining records. Ideal candidates should have effective communication skills, be able to work flexible...Flexible hours
- ...Summary As a Supervisory Criminal Investigator, Assistant Special Agent in Charge (ASAC), you will have a direct responsibility for supervising... ...supervise complex criminal investigations involving alleged fraud and violations of law, including bribery, larceny,...Full timePart timeFor contractorsLocal areaTrial period
$98.53k - $140.75k
At 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 throughout...Full timeContract workTemporary workPart time$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- 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,...Permanent employmentFull timePart timeCasual workWork at officeLocal areaRelocationTrial period
- A federal law enforcement agency is seeking Criminal Investigators (GL-1811-7/9/11). Candidates must be U.S. citizens and pass several assessment phases including a physical task assessment and structured interview. The role involves conducting criminal investigations,...Relocation
- 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
$16.6 - $20.8 per hour
...facility. Continuously monitor the hazardous materials storeroom and clean up spills. Walk throughout the facility to conduct general investigations. Use computers and office equipment. Read standard operating procedures, respond to fire and security alarms, and monitor CCTV....Hourly payWeekly payFull timeTemporary workWork at officeLocal areaMonday to FridayNight shiftWeekend workDay shiftAfternoon shiftEarly shift$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$25.51 per hour
...energetic, enthusiastic individuals that support our core principles of community, safety, service to fill the position of Crime Scene Investigator. Starting salary $25.51per hour. Must be able to type 30 correct words per minute. Minimum Wonderlic score of 18, OPAC score of...Work at officeLocal areaShift work- Drug Enforcement Administration in the United States is seeking a Criminal Investigator at GS-7/9/11 levels. The role offers career growth and advancement, and requires keen analytical, investigative, and communication skills to support federal criminal investigations...Local area
- 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. Chief Inspector Full-time Employee Coconut Creek, FL, US 5 days ago Requisition ID: 1178 Summary The Chief Inspector...Full timeTemporary workWork experience placementLocal area
- ...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
- Responsibilities Appropriately scope, research, and prepare competitive intelligence reports and analysis in response to specific target opportunities Conduct Competitive Intelligence research on law firms, industries, clients, and market trends Develop Intelligence Briefs...
- ...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
$90.8k - $199.7k
## Senior Intelligence AnalystMacdill AFB, FL, USApply NowFind out how well you match with this jobJob ID327835Job Title: Senior Intelligence AnalystJob Category: IntelligenceTime Type: Full timeMinimum Clearance Required to Start: TS/SCIEmployee Type: RegularPercentage...Contract workWork experience placementWorldwideFlexible 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...
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