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Ahfi Jobs (NOW HIRING)

Peraton

Admin Action Specialist

$51K - $82K/yr

CFE or AHFI certification Peraton Overview Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the ...

UnitedHealth Group

Senior Investigator

Dallas, TX · On-site

Accredited Health Care Fraud Investigator (AHFI) * Certified Fraud Examiner (CFE) * Certified Professional Coder (CPC) * Medical Laboratory Technician (MLT) *All Telecommuters will be required to ...

Cotiviti

Senior Investigator - Pre-Pay (Healthcare FWA)

$70K - $90K/yr

Accredited Healthcare Fraud Investigator (AHFI), * Certified Fraud Specialist (CFS), * Certified Fraud Examiner (CFE), * Certified Forensic Interviewer (CFI), or * Certified in Healthcare Compliance ...

CBIZ

Senior Health Care Analyst (Audit & Data)

Atlanta, GA · Hybrid

$82K - $104K/yr

Certifications such as CFE, AHFI, CHDA, CPMA, RHIT, or RHIA. * Experience in data mining, statistical analysis, or fraud detection methodologies. * Experience working with Medicaid or other ...

UnitedHealth Group

Principal Investigator

Minnetonka, MN · On-site

$72K - $130K/yr

Accredited Health Care Fraud Investigator (AHFI) * Certified Fraud Examiner (CFE) * CPT & ICD Coding experience * Specialized knowledge/training in healthcare FWA investigations * Experience working ...

Parkland Health

Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI), Association of Certified Fraud Examiners (CFE), or National Health Care Anti-Fraud Association (NHCAA)

Peraton

Admin Action Specialist

Herndon, VA · On-site

$51K - $82K/yr

CFE or AHFI certification Peraton Overview Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the ...

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All JobsAhfi Jobs

Ahfi information

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$8

$26

$61

How much do ahfi jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for ahfi in the United States is $26.34, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $30.77 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an AHFI (Accredited Health Fraud Investigator), and why are they important?

To thrive as an AHFI, you need a solid background in healthcare compliance, fraud investigation, and knowledge of regulatory standards, typically validated by the AHFI credential. Familiarity with case management systems, data analytics tools, and legal research databases is crucial. Strong analytical thinking, ethical judgment, and clear communication set outstanding investigators apart. These skills ensure effective detection and prevention of health care fraud, protecting both organizations and patients.

What is the difference between Ahfi vs HVAC Technician?

AspectAhfiHVAC Technician
Required CertificationsTypically none or specialized safety certificationsHVAC certification, EPA certification
Work EnvironmentIndustrial, manufacturing, or safety-focused settingsResidential, commercial, or industrial HVAC systems
Industry UsageUsed in safety and industrial sectorsCommonly employed in building climate control
Job FocusSafety, compliance, and industrial processesInstallation, maintenance, and repair of HVAC systems

Ahfi and HVAC Technician roles differ mainly in their focus and work environment. Ahfi professionals often work in industrial or safety-related settings with minimal certifications, while HVAC Technicians focus on climate control systems, requiring specific certifications. Both roles are essential in their respective industries but serve different purposes and environments.

What are Ahfi?

It appears that 'Ahfi' is not a recognized job title or commonly known occupation. It may be a typographical error or an acronym that is not widely used in the context of job titles. If you meant a different job title or if 'Ahfi' refers to a specific organization or role, please provide more details for accurate information.
More about Ahfi jobs
What cities are hiring for Ahfi jobs? Cities with the most Ahfi job openings:
What states have the most Ahfi jobs? States with the most job openings for Ahfi jobs include:
What job categories do people searching Ahfi jobs look for? The top searched job categories for Ahfi jobs are:
Ahfi jobs near you
Infographic showing various Ahfi job openings in the United States as of July 2026, with employment types broken down into 98% Full Time, and 2% Part Time. Highlights an 52% Physical, 19% Hybrid, and 29% Remote job distribution, with an average salary of $54,791 per year, or $26.3 per hour.
Medical Review Investigator

Medical Review Investigator

HealthPartners

Bloomington, MN • On-site

Other

Medical, Retirement

This job post has expired today. Applications are no longer accepted.

HealthPartners rating

7.7

Company rating: 7.7 out of 10

Based on 132 frontline employees who took The Breakroom Quiz

158th of 886 rated healthcare providers

Job description


HealthPartners is hiring a Medical Review Investigator. The Medical Review Investigator is responsible for the intake, investigation, and resolution of potential Fraud, Waste, and Abuse (FWA) allegations involving Medicaid, Medicare, and Commercial (fully and self-insured) product lines. Primary responsibilities include evaluating allegations, analyzing claims data, reviewing medical records, conducting interviews, and performing investigative site visits. This role requires frequent collaboration with both internal departments and external stakeholders.
MINIMUM QUALIFICATIONS:
  • Education, Experience or Equivalent Combination:
  • Bachelor's degree in relevant field, or 4-7 years of Investigative Experience
  • Knowledge, Skills, and Abilities:
  • Proficient in using personal computers, word processing, and spreadsheets.
  • Strong communication and stakeholder management skills.
  • Proficient in drafting detailed and accurate written reports.
  • Excellent presentation, planning and organizational skills.
  • Strong analytical skills with the ability to assess complex situations and identify effective solutions.
PREFERRED QUALIFICATIONS:
  • Education, Experience or Equivalent Combination:
  • 2 years' experience in medical fraud, waste, and abuse (FWA) investigations.
  • Licensure/ Registration/ Certification:
  • Professional certification as a Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AHFI), or similar.
  • Knowledge, Skills, and Abilities:
    • Experienced in using data analysis to uncover trends and patterns.
  • Understanding of the current FWA landscape and trends with the ability to adapt to shifting priorities and evolving requirements.
  • Demonstrated familiarity with CPT codes and terminology.
ESSENTIAL DUTIES:
  1. (70%) - Investigate allegations of potential FWA.
  2. (10%) - Perform prepayment activities, including obtaining and analyzing records.
  3. (10%) - Prepare detailed investigation reports, interview summaries, and regulatory referrals.
  4. (10%) - Identify opportunities for, and contribute to, FWA mitigation strategies including claim system edits, outlier dashboards, corrective action plans, and reimbursement policies.

*Job description rankings/percentages are intended to reflect normal averages over an extended period of time, and are subject to daily variances. Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above. Job descriptions are subject to change to accommodate organization or department needs.
ORGANIZATIONAL EXPECTATIONS:
Values
All colleagues are expected to live our values:
Excellence: We strive for the best results and always look for ways to improve.
Compassion: We care and show empathy and respect for each person.
Partnership: We are strongest when we work together and with those we serve.
Integrity: We are open and honest, and we keep our commitments.
Additional Expectations:
  • Manage an investigative caseload, including timely documentation and reporting of case activities.
  • Research and apply internal and external policies, procedures, laws, and/or regulations.
  • Identify and analyze suspicious billing patterns, trends, and anomalies.
  • Interview professionals, witnesses, and patients/members.
  • Perform investigative provider site visits.
  • Collaborate with internal partners including Legal, Compliance, Contracting, Credentialing, Government Programs, and the Health Plan Medical Directors
  • Serve as an internal resource and subject matter expert on FWA.
  • Demonstrate high standards of integrity and professionalism.

About Us
At HealthPartners we believe in the power of good - good deeds and good people working together. As part of our team, you'll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued. We're working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Benefits Designed to Support Your Total HealthAs a HealthPartners colleague, we're committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.
Join us in our mission to improve the health and well-being of our patients, members, and communities.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

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