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Education/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required, 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required. Licenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.

YEAR

Centene Corporation Group

SIU Investigator

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VoICE will provide voice communications services to Air Traffic Control Specialists (ATCS), supervisors, and ancillary Air Traffic Control (ATC) operators in support of 24x7 ATC operations in the Terminal and En Route domains of the National Airspace System (NAS). FAA Air Traffic Control (ATC) specialists use voice communications as their primary means of communications for the purpose of controlling airspace for the safe and efficient movement of aircraft in the National Airspace System (NAS).

Parsons is a technology-driven engineering services firm with more than 70 years of experience in the engineering, construction, technical, and professional services industries. The corporation is a leader in many diversified markets with a focus on infrastructure, defense, security, and construction. Parsons delivers design/design-build, program/construction management, systems design/engineering, cyber/converged security, and other professional services packaged in innovative alternative delivery methods to federal, regional, and local government agencies, as well as to private industrial customers worldwide.

Parsons

Electronics Technician (CAT 6 Experience Required) - 100 Percent Travel Required

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You will partner with Sales Specialists to execute the technical pre-sales strategy for customers, serving as the trusted technical advisor to C-levels, Lead Architects, and Developers. Lead high-impact showcases and technical value validations using BigQuery, Borderless Lakehouse, Knowledge Catalog, Spark, and Vertex AI to prove business outcomes.

Google LLC

Agentic Data Cloud Customer Engineer II, Google Cloud

Coordinates with various internal customers (e.g., provider services, contracting and credentialing, healthcare services, member services, claims, etc.), to gather documentation pertinent to investigations. Responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care, and recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence.

Molina Healthcare Inc

Investigator, Special Investigative Unit (Remote)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group Inc

Senior Investigator

Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required, 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.

Centene Management Company

Outside the cath lab, you will work closely with hospital administrators, purchasing teams, and cross‑functional Medtronic partners—including Enterprise Accounts, Strategic Accounts, Sales Leadership, clinical specialists, and inventory analysts—to drive access, influence pricing and contract strategies. The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).

Medtronic

Senior Coronary Cathworks Territory Manager - El Paso, TX

This role serves as the primary technical authority and operational leader for all drone-based activities supporting Oxo's oil and gas operations including, facility and well pad imaging, pipeline and midstream infrastructure inspections, drone based compliance inspections, electrical transmission and distribution asset imaging and inspections, offshore inspections, and related industrial inspection programs. This individual manages a team of certified pilots and mission specialists, maintains a multi-platform fleet of UAS infrastructure, drives capability development, interfaces with internal stakeholders and is responsible for the end-to-end delivery of actionable inspection data and analytical products to operations, asset integrity, and engineering teams.

Occidental Petroleum Corp.(Oxy)

UAS Team Lead

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The high-level objective is to achieve the allocated sales target and selling relevant F5 Distributed Cloud solutions and products to address our customers business needs, in partnership with the Specialist Sales Account Manager. Provide technical expertise through sales presentations, solution designs, solution demonstrations, proofs of concept by various mediums: in-person, virtual presentations, white boarding etc.

F5, Inc

Senior Solutions Engineer - F5 Distributed Cloud

Serves as the institutional liaison with regulatory agencies, including but not limited to, the Medicare Administrative Contractor, the Center for Medicaid and Medicare Services, TXHHSC, Recovery Audit Contractors (RACs), Texas Medical Board (TMB) and other payors and regulatory bodies for requests for information, including triaging and overseeing outside regulatory agency reviews and audits and requests for information, and communicating with regulatory agencies in determining the direction, theory, scope and procedures to be used in compliance reviews. Leads or contributes to the development and delivery of training and educational programs for compliance staff, including monitoring audit contractor publications and websites, and actively participating in professional forums such as Novitas, Novitasphere, HMS Medicaid RAC, Cotiviti RAC, Performant, VA RAC, Federal and State OIG, and CMS Open Door Forums, to ensure the team is informed of emerging trends and regulatory changes.

University of Texas Medical Branch at Galveston

Associate Director, Compliance Initiatives

Ab Initio, Agile Methodology, Alteryx, Collaboration Tools, Data Integration, Data Modeling, Demand Forecasting, Design Thinking, High Volume Replication, Inclusion, Informatica PowerCenter, Matillion ETL, Microsoft Excel, Microsoft Power Business Intelligence (PBI), Microsoft Visual Basic for Applications, Oracle Data Integrator (ODI), Personal Effectiveness, Python (Programming Language), SAP BO Data Services (BODS), SnapLogic, Statistics, Tableau (Software), Talend, VBA Macros Language . Monitor and analyze financial transactions for signs of fraud; 2. Conduct investigations into suspicious activities and collaborate with relevant departments for resolution; 3. Develop and implement fraud prevention strategies and tools to mitigate risks; 4. Generate reports on fraud trends, patterns, and recommended actions for management review; 5.

Genpact (NYSE: G) is a global professional services firm that makes business transformation real. We drive digital-led innovation and digitally-enabled intelligent operations for our clients, guided by our experience running thousands of processes for hundreds of Global Fortune 500 companies. We think with design, dream in digital, and solve problems with data and analytics. We obsess over operations and focus on the details – all 78,000+ of us. From New York to New Delhi and more than 20 countries in between, Genpact has the end-to-end expertise to connect every dot, reimagine every process, and reinvent companies’ ways of working. We know that rethinking each step from start to finish will create better business outcomes. Whatever it is, we’ll be there with you – putting data and digital to work to create bold, lasting results – because transformation happens <a href="http://www.genpact.com/">here</a>. Get to know us at <a href="http://www.genpact.com/">Genpact.com</a> and on <a href="http://www.linkedin.com/company/210064?trk=tyah">LinkedIn</a>, <a href="https://twitter.com/genpact">Twitter</a>, <a href="https://www.youtube.com/user/GenpactLtd">YouTube</a>, and <a href="http://www.facebook.com/pages/Genpact/105635026136729">Facebook</a>.

Genpact

Analyst - Process Analytics - FCRM 5A

Familiarity with AI/ML technologies and tools and operationalizing their use in Red Teaming (e.g., developing video and audio deepfakes, etc.), as well as with system administration skills such as configuration, maintenance, and interpretation of log output from networking devices, operating systems, and infrastructure services and with cloud architecture, operations, and security vulnerabilities. JPMC's Assessment Operations organization is looking to expand its Cybersecurity Red Team with an experienced Business Process Red Team Operator specialized in social engineering, penetration testing, Artificial Intelligence, and assessments of critical business processes such as payment operations, fraud, and supplier management.

Fraud Specialist Jobs in Texas

SIU Investigator Centene Corporation Group

Electronics Technician (CAT 6 Experience Required) - 100 Percent Travel Required Parsons

Agentic Data Cloud Customer Engineer II, Google Cloud Google LLC

Investigator, Special Investigative Unit (Remote) Molina Healthcare Inc

Senior Investigator UnitedHealth Group Inc

SIU Investigator Centene Management Company

Senior Coronary Cathworks Territory Manager - El Paso, TX Medtronic

UAS Team Lead Occidental Petroleum Corp.(Oxy)

Senior Solutions Engineer - F5 Distributed Cloud F5, Inc

Associate Director, Compliance Initiatives University of Texas Medical Branch at Galveston

Analyst - Process Analytics - FCRM 5A Genpact

Business Process Red Team Operator JPMorgan Chase & Co

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