- Executive Office for US Attorneys and the Office of the US… (Denver, CO)
- …and analytical work to support the criminal litigation needs of Health Care Fraud (HCF) investigations and trials for the United States Attorney's Office. Typical ... work assignments will include: Providing technical litigation support to Health Care Fraud (HCF) criminal trial teams in order to facilitate litigation decisions,… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Compliance and Investigations Manager** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : 89348 + ... location to be eligible for telework._** **_*Approximately, 10% travel._** The Medicaid Compliance and Investigations Manager is responsible for providing oversight… more
- Amentum (Baltimore, MD)
- …anomalies that might be indicative of improper billing or other types of fraud . + Initiate contacts with federal, state, and local officials, and other ... organizations, including Medicare and Medicaid contractors, related to the subject of the investigation...+ Experience in document analysis, particularly in relation to fraud cases. + Two years' experience in performing on-line… more
- Louisiana Department of State Civil Service (LA)
- Medicaid Analyst 1-3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5101287) Apply Medicaid Analyst 1-3 Salary $2,784.00 - $5,009.00 ... TheMedicaid Analyst (MA)is a position responsible for acquiring an extensive knowledge of Medicaid policy and procedures, and using the same tools to make timely and… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... It is also responsible for evaluating and assessing the resources of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also… more
- Humana (Montpelier, VT)
- …investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced ... Medicare experience + Minimum 3 years of experience with Fraud , Waste, and Abuse in either a Managed Care...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 FA/Trainee 1 FA/Trainee 2 FA (NY HELPS) Occupational ... Description Duties Include:Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) prepares and analyzes background… more
- CVS Health (WV)
- …conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, ... of business, or cases involving multiple perpetrators or intricate healthcare fraud schemes. + Investigates to prevent payment of fraudulent claims submitted… more
- MyFlorida (Tallahassee, FL)
- …Public Benefits Integrity (OPBI) is responsible for investigating government assistance fraud or misuse regarding the SNAP (Food Assistance), TANF (Cash Assistance), ... and Medicaid programs by individuals or merchants. TO BE CONSIDERED...with federal, and state policies. Duties include assisting in fraud investigations and provides support in the recovery of… more
- CVS Health (OK)
- …investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulations mandating fraud plans and practices. - Conducts investigations of known...arbitrations, depositions, etc. **Preferred Qualifications** - Knowledge of Oklahoma Medicaid . - Strong verbal and written communication skills. -… more