Senior SIU Investigator: Fraud, Waste & Abuse
Texas Children's Hospital
Texas Children’s Health Plan is seeking a Senior SIU Investigator to assist the Director of Controls and Compliance in conducting investigations into suspected Fraud, Waste, and Abuse. You will mine data for potential intakes, perform preliminary analysis on provider cases, and contribute to projects aimed at preventing, detecting, and correcting FWA.
The role requires strong investigative skills, adherence to procedures, and the ability to collaborate with federal and state agencies.
#J-18808-Ljbffr- ...We are searching for a Senior SIU Investigator -- someone who works well in a fast-paced setting. In this position, you will assist the... ...conducting investigations into suspected incidents of Fraud, Waste, and Abuse (FWA). This includes data mining for potential intakes,...SeniorFraudLocal area
$95.6k - $188.4k
...accelerate their path to value creation.Work You’ll DoAs a Senior Consultant, Financial Crime and Fraud, you will work with a cross disciplinary team to... ...programs identifying and mitigating fraud, waste, or abuse. Ability to travel 5-25%, on average, based on the work...SeniorFraudLocal area$60.2k - $107.4k
...Growing together. Job Description - Senior Investigator (2384260) At UnitedHealthcare, we’re... ...investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize... ...the Special Investigations Unit’s (SIU’s) case tracking system Collect and...SeniorFraudMinimum wageFull timeTemporary workWork experience placementLocal areaRemote workMonday to Friday$61.9k - $102.9k
...stakeholders that delivers on our promises. Position Summary: The SIU Investigator will conduct field as well as desk investigations of... ...with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop...FraudFull timeTemporary workFor contractorsWork experience placementCasual workWork at officeRemote work- ...products and expertise that help nearly 16 million people save for a better today and tomorrow.Section 1: Position SummaryThe Senior Fraud Investigator is a senior individual contributor responsible for leading complex or high-impact investigations, identifying emerging...SeniorFraudFull timeSecond jobRemote work
$28 - $38 per hour
...Senior Fraud Analyst Since 1973, East West Bank has served as a pathway to success. With over 110 locations across the U.S. and Asia... ...Senior Fraud Analyst will be responsible for identifying, investigating and mitigating potential fraudulent activity involving users...SeniorFraud- ...Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance... ...opportunities for claim investigators, SIU investigators, and surveillance investigators... ...Insurance policies and the components of fraud to determine If claims warrant reporting...FraudWork at officeLocal area
- ...support forfeiture related tasks at the Defense Criminal Investigative Service (DCIS). The DCIS is a federal law enforcement organization... ...support of crucial National Defense priorities involving fraud, waste, and abuse. As a Forensic Accountant, you will work independently to...FraudRemote work
- ...ensure the safety and well-being of our seniors, connect people to jobs, help... ...as a Child Care Services (CCS) Lead Investigator for the Board’s CCS program, reporting... ...procedures by investigating allegations of fraud, waste, and abuse involving parent participants and...FraudLocal area
- ...determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of... ...our efforts to deter and combat insurance fraud. The surveillance investigator position is... ...for advancement include Management, SIU Investigations, and other operational positions...FraudBi-weekly payHourly payWork at office
- ...JCPenney in Sugar Land, TX is seeking an Asset Protection professional to observe activities, detect theft and fraud, and conduct investigations. You will interview customers and contractors, report findings to AP and store leadership, and maintain records of apprehensions...FraudFor contractorsLocal area
- ...Asset Protection Investigator Saks Fifth Avenue is a leading destination for luxury fashion, blending bold curation with a visionary,... ...Protection team to prevent losses from external and internal theft and fraud. You will work on-site in our Distribution Center and report...FraudFull timeRemote workFlexible hours
- ...Protection-Shrink specialist to observe activities, detect theft, conduct investigations, and document all stages in line with AP directives. You will interview customers and contractors, report fraud, and support store leadership with safety and incident response....FraudFor contractors
- ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for...FraudLocal areaNight shiftWeekend work
- ...API authentication, authorization, throttling, rate limiting, and abuse protection.Apply security-by-design principles to CIAM platform.... ...CIAM.Develop AI-assisted identity operations, customer support, fraud detection, and security use cases.Support development of next-...SeniorFraudFull timeWork experience placementWork at officeVisa sponsorshipWork visaFlexible hours
- ...Description Job Description We are seeking an experienced Senior Commercial Litigation Attorney to join our growing practice. This... ...contract disputes • Real estate and property disputes • Fraud and fraudulent inducement • Breach of fiduciary duty • Non-compete...SeniorFraudContract workTemporary work
- Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront of, we provide accurate data and actionable insights that translate into better decision-making for our clients...FraudFull timeLocal areaNight shiftWeekend work
$20 - $26 per hour
...career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully paid... ...are confidential Equal Employment Opportunity Employer PM18 Seniority level Seniority level Mid-Senior level Employment type Employment...FraudHourly payWeekly payFull timeFlexible hoursNight shift- ...Senior Counsel, Toxic Tort and Product Liability Defense About the Company Respected law firm Industry Legal Services Type... ...toxic tort, asbestos, general liability, employment, bad faith/fraud, or insurance defense. While trial experience is a plus, it is...SeniorFraud
- ...Criminal Investigator (Special Agent) OIG's Office of Investigations (OI) investigates potential crimes and civil violations of law involving... ..., procurement, benefits, education, construction, and other fraud; cybercrime and identity theft; bribery, embezzlement, and...FraudFor contractorsWork at officeLocal area
$115k - $130k
...Senior Internal Auditor Hybrid Schedule $115K-$130K Why This Opportunity... ...operational audits, advisory projects, investigations, and analytics rather than exclusively SOX... ...opportunities. • Support and lead investigations, fraud risk assessments, and special projects....SeniorFraud- ...Role: Serve as the credit union's primary specialist for non-card fraud detection, investigation, and loss mitigation across all electronic channels. Proactively monitor, investigate, and resolve fraudulent or suspicious activity involving Digital Banking (online/mobile...FraudWork at officeRemote work
- ...Automotive, Inc., is seeking an experienced Senior Internal Auditor to join our Internal... ...audits, advisory engagements, investigations, analytics-driven projects, and SOX compliance... ...variety: Operational audits, advisory work, fraud investigations, and analytics projects...SeniorFraud
- ...Senior Client Service AssociateAs a Senior Client Service Associate within the Latin America Private Bank at J.P. Morgan you will be responsible... ...as well as protecting client assets against potential fraud activitiesCollaborate with respective client facing teams and internal...SeniorFraudWork at office
- Senior Principal Interconnect Development EngineerThis role has been designed as ‘Hybrid’ with an expectation that you will work on average... ...qualified applicants with criminal histories.Recruitment Fraud AlertWe have become aware of an increase in fraudulent recruitment...SeniorFraudFull timeWork experience placementWork at officeLocal areaImmediate start2 days per week
- Senior Principal Presales Systems Engineer, Cloud and AI NetworkingThis role has been designated as ‘Remote/Teleworker’, which means you... ...qualified applicants with criminal histories.Recruitment Fraud AlertWe have become aware of an increase in fraudulent recruitment...SeniorFraudFull timeWork experience placementLocal areaImmediate startRemote workWork from home
- ...About The Role The Senior Accounts Payable Specialist is responsible for managing day to day financial transactions in the Accounts... ...an Equal Opportunity Employer Disclaimer: Recruitment Fraud - Any communication regarding job opportunities from our...SeniorFraud
$105.5k - $243k
Hybrid Cloud Solutions Senior Financial AnalystThis role has been designed as 'Hybrid' with a requirement that you will work on average... ...employment qualified applicants with criminal histories.Recruitment Fraud AlertWe have become aware of an increase in fraudulent...SeniorFraudFull timeWork experience placementWork at officeLocal areaImmediate start2 days per week$86.7k - $151.7k
...what’s possible.Job Description:We are seeking a highly motivated Senior Civil Engineering to join our team in Houston, TX. The ideal... ...fraudulent recruitment practices. To learn more about recruitment fraud and how to report it, please refer to .SummaryLocation: US - TX,...SeniorFraudFull timeFor contractorsLocal areaFlexible hours$200.7k - $229.1k
...Senior Business Manager, Fraud Operations Strategy The Senior Business Manager of Fraud Operations Strategy will lead a high-performing team of data science and risk professionals dedicated to protecting the global payment network. This role is responsible for overseeing...SeniorFraudFull timePart timeLocal area
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