- MyFlorida (Tampa, FL)
- …in Tampa, Florida or Orlando Florida, and involves auditing complex multi-million-dollar healthcare fraud investigations that can result in criminal and/or civil ... as lead investigator on cases involving suspected Cost Report Fraud and Prospective Payment System Medicaid provider fraud... Fraud and Prospective Payment System Medicaid provider fraud involving: 1) Nursing Homes, 2) Hospitals, and 3)… more
- CVS Health (Phoenix, AZ)
- …Managers, and Directors as appropriate in matters pertaining to the investigation of suspected healthcare fraud cases Completion of Fraud waste and abuse ... Lead Director, Service Operations, this position will focus on utilization, quality and fraud waste and abuse review for individual cases for members across Aetna .… more
- Genentech (South San Francisco, CA)
- …includes the following: + Providing advice, education, training and legal direction on, healthcare fraud and abuse laws, pricing, FDA labeling and promotional ... **The Position** Genentech's Healthcare Law Group (HLG) seeks a Senior Corporate...regulations, the False Claims Act, and laws related to fraud and abuse in the life science/biotech/pharma industries. +… more
- Elevance Health (St. Louis, MO)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... background. **Preferred Qualifications:** + Candidate Must Reside in Missouri + Healthcare experience strongly preferred + Fraud certification from CFE,… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified ... (MPI). MPI is the Agency's lead unit responsible for oversight of Medicaid fraud , waste, and abuse, and ensure compliance with applicable laws, rules, and… more
- Executive Office for US Attorneys and the Office of the US… (Sacramento, CA)
- …Affirmative Civil Enforcement: Responsibilities include enforcement investigations and litigation involving healthcare fraud , procurement fraud , grant ... fraud , financial fraud , pharmaceutical diversion, wildlife recovery actions, and civil rights enforcement, among other things. Asset Forfeiture: Responsibilities include using criminal and civil asset forfeiture proceedings to seize, restrain, encumber,… more
- Executive Office for US Attorneys and the Office of the US… (Concord, NH)
- …crimes; human trafficking; organized crime; terrorism; white-collar crime, including wire and mail fraud , healthcare fraud , and mortgage fraud ; criminal ... immigration matters; and general crimes. The qualified applicant would be expected to (a) leads federal law enforcement agents in structuring and implementing criminal investigative plans and strategies; (b) actively participate in grand jury proceedings,… more
- Executive Office for US Attorneys and the Office of the US… (Philadelphia, PA)
- … affecting compliance with laws and regulations in organizations mostly relating to healthcare fraud ; developing compliance or audit work plans and initial audit ... to assist with investigations. Interviewing witnesses, subject matter experts, healthcare professionals, government and law enforcement agents, certified public… more
- CACI International (Washington, DC)
- …Department of Justice Criminal Fraud Section attorneys in the litigation of healthcare fraud cases. **More About the Role:** Assist trial attorneys with case ... families. At CACI, you will receive comprehensive benefits such as; healthcare , wellness, financial, retirement, family support, continuing education, and time off… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …product development, commercialization, and the legal and regulatory environment (including healthcare fraud and abuse, anti-kickback, and competition law) as ... through commercialization, including advising on a broad range of healthcare regulatory matters, including regulatory labeling discussions, advertising and… more