- New York State Civil Service (New York, NY)
- …auditors, detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. ... No Agency Attorney General, Office of the Title Medical Analyst: Legal Nurse, Fraud /Patient Abuse (6413) Occupational Category Legal Salary Grade NS Bargaining… more
- New York State Civil Service (Hauppauge, NY)
- …detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare ... HELP No Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud /Nursing Home Abuse (3836) Occupational Category Legal Salary Grade NS… more
- Molina Healthcare (NY)
- …The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position ... of experience working in a FWA / SIU or Fraud investigations + Thorough knowledge of PC based software...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- CVS Health (Albany, NY)
- …this role, you will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + ... Conduct high level, complex investigations of known or suspected acts of healthcare fraud , waste and abuse . + Conduct Investigations to prevent payment of… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …product development, commercialization, and the legal and regulatory environment (including healthcare fraud and abuse , anti-kickback, and competition ... through commercialization, including advising on a broad range of healthcare regulatory matters, including regulatory labeling discussions, advertising and… more
- New York State Civil Service (New York, NY)
- …data analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to ... General, Office of the Title Forensic Auditor: Investigate Complex Medicaid Fraud (6414) Occupational Category Financial, Accounting, Auditing Salary Grade NS… more
- New York State Civil Service (Albany, NY)
- …and attorneys to identify enforcement opportunities and effective strategies for combatting waste, fraud , and abuse in healthcare programs.* Providing expert ... Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany-areaDeputy Director, Electronic Investigative Support GroupReference… more
- Molina Healthcare (Rochester, NY)
- …insurance company + Minimum of two (2) years' experience working on healthcare fraud related investigations/reviews + Proven investigatory skill; ability to ... The position must have the ability to determine correct coding, documentation, potential fraud , abuse , and over utilization by providers and recipients. The… more
- KPH Healthcare Services, Inc. (Saranac Lake, NY)
- …keyboarding skills **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course + HIPPA Privacy CE ... Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste, and Abuse CE Mastery Exam...as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course + HIPPA Privacy CE ... Mastery Exam + HIPPA Security CE Mastery Exam + Fraud , Waste, and Abuse CE Mastery Exam...as relevant skills, years of experience and education. KPH Healthcare Services, Inc. is a multistate organization and abides… more