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SENIOR INVESTIGATOR - REMOTE IN NORTH CAROLINA - NOW HIRING

Investigate medium to highly complex cases of fraud, waste, and abuse. Detect fraudulent activity by members, providers, employees and other parties against the Company. Develop and deploy the most effective and efficient investig...

CompanyUnitedhealthcare
AddressCharlotte, NC
CategoryInformation Technology
Job typeFull-time, Part-time
Date Posted 2 weeks ago See detail

Senior Investigator - Remote in North Carolina - Now Hiring

Unitedhealthcare

Charlotte, NC

Investigate medium to highly complex cases of fraud, waste, and abuse. Detect fraudulent activity by members, providers, employees and other parties against the Company. Develop and deploy the most effective and efficient investig...

Senior Investigator

Unitedhealthcare

Lansing, MI

$53.1K - $67.2K a year

Investigate medium to highly complex cases of fraud, waste, and abuse. Detect fraudulent activity by members, providers, employees and other parties against the Company. Develop and deploy the most effective and efficient investig...

Senior Investigator

Elevance Health

Morristown, NJ

Claim reviews for appropriate coding, data mining, entity review, interviewing, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for inde...

Senior Investigator and Employee Concerns Program Manager

Pacific Northwest National Laboratory

United States

$129K - $163K a year

Research Associates excluded. Manage, execute, and maintain the requirements, processes, procedures, tools and resources to assure a compliant ECP. Apply knowledge of DOE ECP requirements, as well as PNNL company policies and proc...

Investigator – Forensic Accountant Specialist/Senior Associate

Inter-American Development Bank

United States

Supporting OIIs preventive function by providing expert advice and forensic assistance in response to consultations and other integrity risk management efforts to units across the IDB Group, including its regional offices. This i...

Investigator – Forensic Accountant Specialist/Senior Associate

Inter-American Development Bank

Washington, United States

Supporting OIIs investigations function by providing forensic expertise, including forensic audits, in connection with investigations of potential prohibited practices in projects financed by the IDB Group.. Supporting OIIs prev...

Senior Manager, Global Investigations

Sitel

United States

Winner of Comparablys Award for Best Global Culture in 2022 and 2021 Gold Stevie Award Winner for Great Employers We foster an exciting culture of creativity, connection, and commitment. Supervise and oversee Global Investiga...

Senior HR Fraud Investigator

Pge

Oakland, CA

Conducts thorough internal investigations involving violations of the Code of Conduct, including, but not limited to, fraud investigations involving the falsification of records, expenses, payroll entries and conflicts of interest...

Senior Hospital Care Investigator

Nyc Health And Hospitals/At Home

New York, NY

Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Work Shifts To...

Senior Investigator

Unitedhealthcare

Baton Rouge, LA

$60.7K - $76.9K a year

Investigate medium to highly complex cases of fraud, waste and abuse. Detect fraudulent activity by members, providers, employees and other parties against the Company. Develop and deploy the most effective and efficient investiga...

Senior Investigator, Financial Intelligence Unit - Remote

Intelliswift Software, Inc.

San Jose, CA

$55.55 an hour

Investigating routine, complex, or special matters, as well as novel cases of first impression, including. Emerging Threats. Terrorist Financing. Internal Investigations and Referrals. Large Fraud Rings (Triangulation fraud, ATO,...

Senior Investigator

Unitedhealth Group

Eden Prairie, MN

Investigate instances of potential healthcare fraud, waste, and/or abuse (FWA). Conduct telephonic and/or in-person interviews of members, providers, and other related parties to gather information in support of investigations. Re...

Senior Investigator

Konkordia Phoenix Plc, Inc.

Kissimmee, FL

$25 an hour

Conduct on-site field investigations of underground, aerial, and outside plant damages for the telecommunications and utilities industries. Apply training to develop and maintain a solid comprehensive knowledge of local and state...

Senior Rackets Investigator

Nyc Careers

New York, United States

$79,519 - $83,382 a year

Agency: DISTRICT ATTORNEY-MANHATTAN Job type: Full-time Title Classification: No exam required Developing cases based on tips and leads referred to WPU by other agencies, community groups, and hotline complaints. Contact and inter...

Investigator Senior

Elevance Health

NORFOLK, VA

Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.. Responsible for independently id...

Senior License Compliance Investigator - REMOTE

Ansys

Blacksburg, VA

$77.3K - $97.9K a year

Data analysis will be a daily activity for the SLC. Bringing data together from a variety of sources, the SLC should be a highly organized, detail-oriented individual who works well independently or as a global team player to get...

Senior Criminal Investigator (Polygraph Examiner)

Justice, Office Of The Inspector General

New York, NY

You must be a graduate of the National Center for Credibility Assessment's (NCAA) Psychophysiological Detection of Deception Program or one of its predecessors (e.g., Department of Defense Polygraph Institute, U.S. Army Military P...

Investigator Senior

Elevance Health

Washington, GA

Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. . Responsible for independently id...

Senior Hospital Care Investigator

Nyc Health + Hospitals

New York, NY

Comprehensive Health Benefits for employees hired to work 20+ hrs. per week. Retirement Savings and Pension Plans Loan Forgiveness Programs for eligible employees. Paid Holidays and Vacation in accordance with employees' Collectiv...

Senior Rackets Investigator

York County District Attorney's Office

New York, NY

$79,519 - $83,382 a year

Conducting, managing, and updating on-going criminal investigative caseloads with a focus on, but not limited to homicides. Conducting and managing fieldwork, consisting of surveillance, quality assurance checks, and various under...

Senior District Attorney Investigator A/B

Riverside County, Ca

Riverside, CA

Tier I (Classic Member - Formula 3% @ 50): Applicable to current and former County of Riverside local safety employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is nine (9%) pe...

SIU Investigator Senior - field - NE United States

Usaa

New York, NY

Leads the execution of fraud prevention strategies and investigative operations. Leads high exposure, high profile and sensitive work assignments, and special investigations involving complex specialized fraud referrals, (examples...

Senior Special Investigations Unit Medical Reviewer

Inland Empire Health Plan

Rancho Cucamonga, CA

CalPERS retirement. 457(b) option with a contribution match. Generous paid time off- vacation, holidays, sick. State of the art fitness center on-site. Medical Insurance with Dental and Vision. Paid life insurance for employees wi...