• Legal Nurse: Investigate Medicaid Fraud

    New York State Civil Service (New York, NY)
    …data analysts, and legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage ... Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud /Patient Abuse (6400) Occupational Category Legal Salary Grade NS Bargaining… more
    New York State Civil Service (10/15/25)
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  • Compliance & Audit Manager (Malvern, PA)

    Philips (Malvern, PA)
    Healthcare Compliance professional. This experience would ideally be in the areas of Healthcare Fraud and Abuse and other laws pertaining to interactions ... a focus on identifying and addressing risks related to participation in federal healthcare programs. + Assist and support Compliance Officers and team members in… more
    Philips (09/13/25)
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  • Vice President and Deputy General Counsel

    WellSpan Health (York, PA)
    …legal advice related to, the full range of healthcare laws, including healthcare fraud and abuse laws, hospital/physician issues, complex contract ... Education:** + Doctor of Law (JD) Required **Work Experience:** + 10+ years Healthcare law experience required + Corporate law experience required + In-house counsel… more
    WellSpan Health (10/09/25)
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  • Counsel - Global Commercial Operations Law

    Amgen (Thousand Oaks, CA)
    …in healthcare industry is a plus but not required, including counseling on: + Healthcare fraud and abuse matters + OIG compliance guidance and advisory ... price concession strategies and risk mitigation with members of the healthcare community (managed care organizations, hospitals, Group Purchasing Organizations (GPO)… more
    Amgen (09/13/25)
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  • Senior Counsel - Global Commercial Operations

    Amgen (Chicago, IL)
    …+ Experience counseling clients on complex legal and regulatory considerations including: + Healthcare fraud and abuse matters + FDA promotional regulations ... on price concession strategies and risk mitigation with members of the healthcare community, with emphasis on the Anti-Kickback Statute and applicable antitrust laws… more
    Amgen (08/08/25)
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  • REMOTE Data Analyst

    Insight Global (Eden Prairie, MN)
    …for retail like experience from a Payment Integrity standpoint helping reimagine how we identify healthcare fraud , waste and abuse , and how we make some of ... will be supporting E&I USP Data & Analytics strategy around fraud transformation, improving operational efficiencies, affordability gaps etc., and will also… more
    Insight Global (09/26/25)
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  • REMOTE Data Scientist

    Insight Global (Eden Prairie, MN)
    …for retail like experience from a Payment Integrity standpoint helping reimagine how we identify healthcare fraud , waste and abuse , and how we make some of ... will be supporting E&I USP Data & Analytics strategy around fraud transformation, improving operational efficiencies, affordability gaps etc., and will also… more
    Insight Global (09/26/25)
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  • Associate Chief Counsel

    The Cigna Group (Bloomfield, CT)
    …of a reputable law firm with emphasis on anti-kickback, HIPAA, and other federal healthcare and fraud and abuse laws and regulations; experience with ... with the various state and federal laws impacting the healthcare supply chain. A minimum of 10 years of...and other external parties on matters relating to the healthcare supply chain + Assist business partners with developing… more
    The Cigna Group (10/15/25)
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  • Forensic Auditor: Investigate Complex…

    New York State Civil Service (Pearl River, NY)
    …Attorney General, Office of the Title Forensic Auditor: Investigate Complex Healthcare Fraud , 6405 Occupational Category Financial, Accounting, Auditing Salary ... data analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to… more
    New York State Civil Service (10/08/25)
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  • Senior Fraud & Waste Investigator

    Humana (Oklahoma City, OK)
    …**Required Qualifications** + **Must be an Oklahoma resident** + 2+ years of healthcare fraud investigations and auditing experience + Knowledge of healthcare ... Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud , waste, and abuse involving providers who submit claims to… more
    Humana (10/10/25)
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