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Weekend Insurance Fraud Investigator Jobs in Washington

BRMi

Fraud Management Specialist

Vienna, VA · On-site

Assists with process improvements, reporting, training, and fraud investigations while working ... Comprehensive Medical, Dental, and Vision Insurance Employer-Paid Life Insurance Employer-Paid ...

BRMi

Fraud Management Specialist

Vienna, VA

Assists with process improvements, reporting, training, and fraud investigations while working ... Vision Insurance • Employer-Paid Life Insurance • Employer-Paid Short-Term and Long-Term ...

BRMi

Fraud Management Specialist

Vienna, VA · On-site

Assists with process improvements, reporting, training, and fraud investigations while working ... Vision Insurance • Employer-Paid Life Insurance • Employer-Paid Short-Term and Long-Term ...

Frasco Inc

Surveillance Investigator

Alexandria, VA · On-site

$20 - $26/hr

Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully ... Health, Dental, Vision, Life Insurance, Supplemental Health Benefits, Flexible Spending Accounts ...

Frasco Inc

Surveillance Investigator

Alexandria, VA · On-site

$20 - $26/hr

Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully ... Health, Dental, Vision, Life Insurance, Supplemental Health Benefits, Flexible Spending Accounts ...

Frasco, Inc.

Surveillance Investigator

Alexandria, VA · On-site

$20 - $26/hr

Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully ... Health, Dental, Vision, Life Insurance, Supplemental Health Benefits, Flexible Spending Accounts ...

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Weekend Insurance Fraud Investigator jobs near you

Health Insurance Specialist

Department of Human Services

Washington, DC

$143K/yr

Full-time

Posted 6 days ago

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO), Front Office.
As a Health Insurance Specialist, GS-0107-14, you will serve as a Health Insurance Specialist and the Operations Lead responsible for designing, governing, and continuously improving the operational infrastructure that enables investigation, and remediation of fraud, waste, and abuse.Qualifications:

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT.
Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further.
In order to qualify for the GS-14 , you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include:
1. Designing and maintaining operational systems and analytical frameworks to identify, monitor, and remediate fraud, waste, and abuse within federal health insurance programs or marketplaces, AND;
2. Directing and managing center-level governance processes for fraud oversight across multiple organizational groups or divisions, AND;
3. Leading long-range strategic planning initiatives focused on fraud prevention and program integrity within federal health insurance programs, AND;
4. Serving as a principal liaison to senior leadership and executive stakeholders on complex health insurance fraud and program integrity issues.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Time-in-Grade: To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13025148

Education:This job does not have an education qualification requirement.Employment Type: OTHER

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