- State of Georgia (Fulton County, GA)
- … Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud investigations . Assists criminal justice personnel, including, but not ... documentation, conducting interviews, and gathering intelligence information for health care fraud investigations and patient abuse investigations . *… more
- Molina Healthcare (Augusta, GA)
- …opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and ... Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations . + Detects potential health care fraud , waste, and… more
- State of Georgia (Fulton County, GA)
- …Medicaid Program. Participates as a member of an interdisciplinary team in Healthcare fraud investigations , and provides support to members of other disciplines ... eligibility of providers as requested. + Assists prosecutors in Healthcare Fraud investigations by reviewing provider and patient records. + Makes determination… more
- Intuit (Atlanta, GA)
- …you'll bring** * **Domain Expertise** : 7+ years of proven experience in fraud investigations , underwriting, risk operations, or a related field within the ... candidate will have a background in leading dynamic organizations in the fraud /financial crimes operational space (preferably within a Fintech company),and will have… more
- Prime Therapeutics (Atlanta, GA)
- …& Experience** + Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the ... for work visa or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations /claims experience. + Ability to manage workload while… more
- Deloitte (Atlanta, GA)
- …prepare client presentations, reports, and deliverables on projects including accounting and fraud investigations , false claims act cases, and complex business ... + Help clients predict, detect, and respond to global crises, corporate fraud , corruption, whistleblower allegations, and other complex risks by advising on… more
- CVS Health (Atlanta, GA)
- …Medicaid experience is preferred. Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by both members and ... **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 years of leadership experience… more
- Molina Healthcare (Atlanta, GA)
- …SIU an active relationship with third parties who have specific experience in conducting fraud and abuse investigations . * Prepares written reports to inform the ... accountability for compliance by overseeing, follow-up and resolution of investigations . **Knowledge/Skills/Abilities** * Responsible for oversight and management of… more
- Allied Universal (Augusta, GA)
- …(5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud + Ability to be properly licensed as ... license prior to applying.** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists… more
- State of Georgia (Fulton County, GA)
- Assistant Attorney General- Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/67792/other-jobs-matching/location-only) Hot ... Job Alerts The Office of the Attorney General Department of Law Medicaid Fraud Division - Civil Litigation Assistant Attorney General The mission of the Department… more