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Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by provider...

DEPARTMENT OF ECONOMIC SECURITY
Your Partner For A Stronger Arizona.
DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona.
DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life.
SENIOR INVESTIGATOR
...

Looking for a new challenge?
Take a look at our current vacancies. If you see a vacancy that is right for you, we encourage you to apply!
Investigator
Make a positive difference to financial services
Contract: up to 4 years fixed-term contract
Working hours: full time (35 hours pw) and part time (28 hours pw)
Salary: £31,238pa (full time), £24,990pa (part time)
Reporting to: Ombudsman Man...

This is a U.S. Public Health Service position within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of the Chief of Staff, IHSC Investigations Unit (IIU). This is a non-supervisory position.
This position is only open to current USPHS officers with IHSC experience.
Duties
...

JOB DESCRIPTION
Job Summary
The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. T...

Type of Requisition:
Regular
Clearance Level Must Currently Possess:
None
Clearance Level Must Be Able to Obtain:
None
Public Trust/Other Required:
None
Job Family:
Intelligence
Job Qualifications:
Skills:
Evaluate Information, Microsoft Office, Researching
Certifications:
None
Experience:
3 + years of related experience
US Citizenship Required:
No
Job Description:
Marketp...

About the Company
Founded in 2018 by professors of Yale University and Columbia University, CertiK is a pioneer in blockchain security, utilizing best-in-class AI technology to secure and monitor blockchain protocols and smart contracts. CertiK’s mission is to secure the cyber world. Starting with blockchain, CertiK applies cutting-edge innovations from academia into enterprise, enabling missio...

LOCATION: Remote – must live in or/near Vaya’s catchment area. Must also reside in North Carolina or within 40 miles of the NC border.
GENERAL STATEMENT OF JOB
The Special Investigator works under the direct supervision of the Special Investigations Operations Manager. The Special Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste ...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in plan...

We’re looking for people who put their innovation to work to advance our success – and their own. Join an organization that ensures a more secure world through connecting and protecting our customers with inventive electrical solutions.
The Compliance Investigator is responsible for conducting investigations of alleged or suspected violations of the company’s ethical standards or non-complian...

Overview
Treliant is an essential consulting firm serving banks, mortgage originators and servicers, fintechs, and other companies providing financial services globally. We are led by practitioners from the industry and the regulatory community who bring deep domain knowledge to help our clients drive business change and address the most pressing compliance, regulatory, and operational challen...

⚡️ About Merkle Science
Merkle Science provides blockchain transaction monitoring and intelligence solutions for web3 companies, digital asset service providers, financial institutions, law enforcement and government agencies to detect, investigate, and prevent illicit use of cryptocurrencies. Our vision is to make cryptocurrencies safe and provide infrastructure for the safe and compliant gro...

Senior Field Security Investigator
Summary
We have an exciting opportunity to join the SIU team as a Senior Field Security Investigator in the Melbourne/Palm Bay area! As a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating s...

The National Indian Gaming Commission's primary mission is to work within the framework created by the Indian Gaming Regulatory Act (IGRA) for the regulation of gaming activities conducted by tribes on Indian lands to fully realize IGRA's goals: (1) promoting tribal economic development, self-sufficiency and strong tribal governments; (2) maintaining the integrity of the Indian gaming industry;...

Job Description:
Investigation specialists are expert communicators and problem solvers obsessed with Customer success. They have a passion for proficiency, and efficiently navigate formal and informal channels to advocate on the Customer’s behalf. They take full ownership of their functional issues and offer high quality solutions and they are the champion for proactive improvements.
The Inves...

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Job Summary:
The Nurse Investigator II is responsible for performing highly complex healthcare fraud investigations including but not limited to, complex surgical operations, inpatient hospital coding including diagnostic related grouping (DRG), and anesthesia cases. The incumbent is responsible ...

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Job Deta...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunitie...

As the Principal Response Investigator within the Cyber Defense organization, you will work with a team of highly technical security professionals focused on the continued enhancement of enterprise capabilities tied to responding to cyber security incidents. You will bring strategic vision and technical capability to the team to further enhance and develop the cyber incident response program.
...

We’re on a mission to make money work for everyone.
We’re waving goodbye to the complicated and confusing ways of traditional banking.
With our hot coral cards and get-paid-early feature, combined with financial education on social media and our award winning customer service, we have a long history of creating magical moments for our customers!
We’re not about selling products - we want ...