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JOB DESCRIPTIONJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.
Starting at $19.64 - $42.55 an hour depends on education, experienceFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Accredited Health Care Fraud Investigator (AHFI). The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence.
Starting at $19.64 - $42.55 an hour depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Aids BSA/AML Investigator with fraud case elements in relation to Suspicious Activity Report (SAR) filings. Assist BSA/AML Investigator with continuing fraud related activity for a Suspicious Activity Report (SAR) refile.
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Oversees the planning and coordination of complex investigations in one or more of the following areas: national-security related offenses, fraud, bribery and public corruption, money laundering, violent crime, and cyber-crime.
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NYCHOIG is seeking a Confidential Investigator L1 who will be responsible for conducting criminal and policy oversight investigations involving NYCHA. The selected candidate will manage a varied case docket involving investigations of fraud, corruption, mismanagement, and employee misconduct relating to NYCHAs employees, residents, and contractors.
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Certified Fraud Examiner (CFE) or Certified Financial Crimes Investigator preferred. Actively support managers and supervisors with Fraud investigations, while coordinating with team members and other departments to determine the proper course of action in handling potentially suspicious activity as required by applicable global regulatory, law enforcement or, Financial Intelligence Units (FIU.
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Accredited Health Care Fraud Investigator (AHFI) - Certification - National Health Care Anti-Fraud Association (NHCAA) Certification/License: Accredited Health Care Fraud Investigator (AHFI) Required.
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Preference will be given to candidates with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified Financial Crimes Investigator; Certified Insurance Fraud Investigator; or Certified Compliance and Ethics Professional.
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Training Requirement: Incumbent must successfully complete the Federal Law Enforcement Training Center's Criminal Investigator Training Program, or its equivalent. 3) Utilizing investigative techniques to conduct criminal and/or administrative investigations (such as procurement and contract fraud, public corruption, money laundering, excessive use of force, serious misconduct, criminal misconduct, serious ethics/falsification, and insider threat.
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In the investigative role, the Investigator conducts routine to complex investigations, which may include elements of elder abuse, fraud committed by external parties, money laundering, or terrorist financing and acts as the liaison to Law Enforcement as required.
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The Investigator will maintain a working knowledge of the Bank Secrecy Act (BSA), USA PATRIOT Act, Anti-Money Laundering efforts, Office of Foreign Assets Control (OFAC) and awareness of industry best practices.
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CERTIFICATIONS/LICENSES : One or more of the following preferred: Active license in good standing to practice law in one or more jurisdictions; Certified Fraud Examiner (ACFE); Certified Insurance Fraud Investigator (CIFI); Chartered Property Casualty Underwriter (CPCU); Self-Insurance Certification (Claims/SIP.
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Applicants who have successfully completed the basic Criminal Investigator Training Program at the Federal Law Enforcement Training Center or its equivalent will be given higher consideration for this position.
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Applicants for all Criminal Investigator (Special Agent) 1811 positions must meet all GS-1811 Criminal Investigator (Special Agent) Qualification Standards, including Medical Requirements, please see.
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The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive behavior, as well as overpayment recoveries, administrative sanctions, and the referral of suspected fraud or other criminal violations for law enforcement investigation.
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fraud investigator jobs
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