Senior Investigator jobs
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SENIOR INVESTIGATOR
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 iden...
| Company | Elevance Health |
|---|---|
| Address | New York, NY |
| Category | Information Technology |
| Job type | Full-Time |
| Date Posted | yesterday See detail |
Senior Investigator
Elevance Health
New York, NY
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 iden...
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Senior Investigator
Unitedhealth Group
Austin, TX
Investigatemedium 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...
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Senior Claims Investigator New
Pge
Fresno, CA
Requisition ID# 157803Job Category: LegalJob Level: Individual ContributorBusiness Unit: Gen Counsel, Ethics, Risk & ComplianceWork Type: HybridJob Location: FresnoThe Claims department investigates and resolves third party cla...
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Senior Investigator, Title IX and Student Conduct
College Of The Canyons
Valencia, CA
As a leader, demonstrates a commitment to student success that is mission-aligned with the Districts vision, values and priorities. Establishes an ethical and collegial work environment, promoting a collaborative, accountable and...
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Senior Quality Investigation Manager
Iconma
Parsippany, NJ
Senior Quality Investigation Manager Location: Hybrid for Parsippany (preferred) or Foster City Duration: 6 Months Description: R&D Deviation and CAPA ManagementR&D Quality and Medical GovernancePrimary Responsibilities: Lead and...
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Senior Cyber Investigations Analyst
Microsoft
Redmond, WA
Respond to and investigate sophisticated threats with information from a wide variety of sources, and ensure similar scenarios are prevented in the future. Perform forensic investigation on suspected compromised assets and analyze...
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Senior Manager Major Financial Crime Investigations
Hsbc
Washington, United States
Coordinate and manage several complex projects Support and embed change initiatives, identifying and developing new or improved delivery mechanisms Independently perform assignments to achieve stated objective. Determine and devel...
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Senior Risk Investigator - KYC
Mercury
United States
Partner cross-functionally with Compliance, Legal, Product, Risk Strategy and additional groups to enhance Mercurys ongoing due diligence program and drive efficiency using data and technology. Contribute to the development of Qu...
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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...
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- View all Unitedhealthcare jobs - jobs in Charlotte, NC
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...
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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...
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Financial Crimes Senior Investigator (US)
Td Bank
Connecticut, United States
$33 - $54 an hour
Investigates criminal cases ranging from simple to complex in nature. Sound knowledge of Bank products, systems, policies and procedures Strong knowledge of criminal investigative techniques, related laws governing collection of e...
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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...
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Senior Investigative Specialist
Biden For President
Wilmington, DE
$90,000 - $110,000 a year
Develop and execute investigative research plans, including detailed summaries of public records requests, archival research, local collection trips, relationship mapping, etc. Expose unreported or novel information. Provide rapid...
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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...
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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,...
2 months ago seen See more...
Senior Investigator, Special Investigation Unit (Fully Remote)
Cvs Health
Columbus, OH
$43,700 - $102,000 a year
Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices. Conducts i...
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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...
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Senior Family Services Specialist - CPS Investigations
Chesterfield County
Chesterfield, VA
Excellent oral and written communication skills to include the ability to interact with a diverse population. Outstanding public speaking and presentation skills, especially for court interventions. Assertive and confident - espec...
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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...
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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...
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Senior Consultant - Fire & Explosion Investigator
Engle Martin
Fremont, CA
Is Passionate. You have a genuine passion to problem solve. Is motivated and cultivates innovation. You're driven to be the very best. You challenge yourself to grow and learn every day and are encouraged by other team members. Is...
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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...
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Senior BSA/AML Investigator
Alerus Financial
Grand Forks, ND
Join our team!
Detect and investigate suspicious activity from various BSA alerts, reports, systems and processes. Keep detailed documentation of the investigation within the Verafin case. Collaborate with other Alerus departments when researchi...
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Senior Fraud Investigator
Alerus Financial
Grand Forks, ND
Join our team!
Detect and investigate suspicious activity from various fraud alerts, reports, systems. and processes. This may include but not limited to check fraud, deposit fraud, ACH, WIRE, new account fraud, online account takeover, debit ca...
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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...
3 weeks ago seen See more...
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Senior Manager, CAP & SIF Investigations
Pge
San Ramon, CA
Applies experience and knowledge to lead a team responsible for the evaluation and resolution of issues with the Corrective Action Program process for multiple business units. . Develops and improves processes and programs. Mature...
3 weeks ago seen See more...
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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...
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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...
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Senior Global Financial Crimes Investigator
Bank Of America
Chicago, IL
At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teamm...
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