Fraud Investigation Officer jobs in Lawton, OK

Fraud Investigation Officer investigates fraudulent/illegal activities perpetrated by customers or employees. Designs and implements programs to prevent such activities and to recover any incurred losses. Being a Fraud Investigation Officer works with local, state and federal authorities with matters relating to fraudulent/illegal activities. Require a bachelor's degree. Additionally, Fraud Investigation Officer typically reports to a manager. To be a Fraud Investigation Officer typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Special Investigation Unit Investigator
  • JobRapido
  • lawton, OK FULL_TIME
  • You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

    Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans.


    At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level.

    Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.

    • Conduct investigations of potential waste, abuse, and fraud
    • Document activity on each case and refer issues to the appropriate party
    • Perform data mining and analysis to detect aberrancies and outliers in claims
    • Develop new queries and reports to detect potential waste, abuse, and fraud
    • Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
    • Assist with complex allegations of healthcare fraud
    • Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
    • Complete various special projects and audits

    Education/Experience: Bachelor’s Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience. 1 years of medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation experience. Knowledge of Microsoft Applications, medical coding and terminology preferred.

    Pay Range: $52,900.00 - $95,200.00 per year

    Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


    About the Company:
    JobRapido



  • 1 Month Ago

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Surveillance Officer
  • The Chickasaw Nation- Gold Mountain Casino
  • Ardmore, OK FULL_TIME
  • SURVEILLANCE OFFICERJob Description Department: SurveillanceJob Title: Surveillance OfficerGeneral Definition: Ensures the safety of tribal assets through constant observation of all assigned areas.Su...
  • 19 Days Ago

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Loan Officer
  • Paramount Residential Mortgage Group
  • Elgin, OK FULL_TIME
  • Overview PRMG is Built by Originators for Originators. There is a reason why PRMG is consistently voted one of the best places to work. We focus on the areas that make an Originator successful and hav...
  • 22 Days Ago

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Transportation Officer
  • COMANCHE COUNTY DETENTION CENTER
  • Lawton, OK FULL_TIME
  • Job Summary:We are seeking a highly skilled and dedicated Transportation Officer to join our team. As a Transportation Officer, you will be responsible for ensuring the safety and security of inmates ...
  • 6 Days Ago

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Security Officer
  • Weiser Security
  • Fletcher, OK FULL_TIME
  • Reports to: Branch Manager or Account ManagerJob Summary: This position is under the direct supervision of the Account Manager or Branch Manager and is responsible for protection, safeguarding, and se...
  • 17 Days Ago

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DETENTION OFFICER
  • COMANCHE COUNTY DETENTION CENTER
  • Lawton, OK FULL_TIME
  • MUST HAVE A DRIVERS LICENSE. MUST BE 21 OR OVER. MUST HAVE A HIGH SCHOOL DIPLOMA OR GED MUST PASS DRUG TEST. MUST PASS BACKGROUND CHECK. CLEET AVAILABILITY Responsible for custody and control of inmat...
  • 28 Days Ago

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0 Fraud Investigation Officer jobs found in Lawton, OK area

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Security Officer (FT, PT, & Flex)
  • Securitas, Inc.
  • Lawton, OK
  • Location: Security Officer (FT, PT, & Flex) in Lawton, OK at Securitas Security Services USA Location * **Experience:** ...
  • 3/28/2024 12:00:00 AM

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Solutions Manager
  • DPRA Incorporated
  • Lawton, OK
  • Helping our clients achieve their goals starts with attracting and obtaining top talent! We look for highly innovative a...
  • 3/28/2024 12:00:00 AM

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Maintenance Team Member
  • EASTERN SPORTS MANAGEMENT
  • Lawton, OK
  • Description Eastern Sports Management is currently accepting applications for Maintenance Team Member. The Maintenance T...
  • 3/28/2024 12:00:00 AM

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Part-Time Weekend Breakfast Attendant
  • Holiday Inn Express Lawton
  • Lawton, OK
  • Compensation Type: Hourly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Orthopedics - $1,725 per week
  • Specialty Professional Services
  • Lawton, OK
  • Job Description Specialty Professional Services is seeking a travel nurse RN Orthopedics for a travel nursing job in Law...
  • 3/28/2024 12:00:00 AM

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Travel LPN / LVN - Med Surg - $1,300 per week - Urgently Hiring
  • Uniti Med Long Term Care
  • Lawton, OK
  • Job Description Uniti Med Long Term Care is seeking a LPN / LVN Med Surg for a travel job in Lawton, Oklahoma. Job Descr...
  • 3/28/2024 12:00:00 AM

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Truck Driver Company - 1-5mo EXP Required - Dedicated - Dry Van - $70k per year - U.S. Xpress
  • U.s. Xpress
  • Lawton, OK
  • CDL-A Dedicated & OTR Solo Drivers| Willing to Team | $70,000+ Year . CDL-A Dedicated & OTR Solo Truck Drivers Earn up t...
  • 3/28/2024 12:00:00 AM

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Police Officer
  • City of Lawton, OK
  • Lawton, OK
  • Police Officer- LPD Applications Accepted Indefinitely Code : 5151-1 Type : INTERNAL & EXTERNAL Location : POLICE UNIFOR...
  • 3/24/2024 12:00:00 AM

Lawton is the fifth largest city in Oklahoma, located at 34°36′16″N 98°23′45″W / 34.60444°N 98.39583°W / 34.60444; -98.39583 (34.604444 N, 98.395833 W). The city has a total area of 75.1 sq mi (195 km2), all land. Lawton is located approximately 84 mi (135 km) southwest of Oklahoma City. Other surrounding cities include Wichita Falls about 47 mi (76 km) to the south, Duncan about 33 mi (53 km) to the east, and Altus about 56 mi (90 km) to the west. Lawton lies in an area typical of the Great Plains, with prairie, few trees, and flat topography with gently rolling hills. The region north of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Fraud Investigation Officer jobs
$50,690 to $68,772
Lawton, Oklahoma area prices
were up 1.2% from a year ago

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"As the allegation was only reported to us on Wednesday, our enquiries are at an early stage but specialist officers, including our Economic Crime Unit, are investigating to establish whether any offences have occurred.
February 04, 2020