- Humana (Oklahoma City, OK)
- …**Required Qualifications** + **Must be an Oklahoma resident** + 2+ years of healthcare fraud investigations and auditing experience + Knowledge of healthcare ... help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of… more
- 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 Medical Analyst: Legal Nurse, Fraud /Patient Abuse (6418) Occupational Category Legal Salary Grade NS Bargaining Unit M/C… more
- State of Georgia (Fulton County, GA)
- …or more items below: + Attorneys with civil litigation experience, with an emphasis on healthcare or fraud matters. + Demonstrated ability to work in a team is ... Assistant Attorney General 1 - Medicaid Fraud -Civil Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/72524/other-jobs-matching/location-only)… more
- New York State Civil Service (Albany, NY)
- …attorneys, auditors, detectives, data analysts, and nurses to conduct complex, long-term healthcare fraud investigations. The position is suitable for both ... Attorney General, Office of the Title Legal Support Analyst: Support Medicaid Fraud Investigations (6419) Occupational Category Legal Salary Grade NS Bargaining Unit… more
- LA Care Health Plan (Los Angeles, CA)
- …or Related Field Experience Required: At least 7 years of experience in healthcare compliance, fraud investigations, law enforcement, or related field. At least ... Preferred And/Or any of the following Licenses/ Certifications: Certified Fraud Examiner (CFE) Certified HealthCare Compliance (CHC) Certified… more
- Zelis (St. Petersburg, FL)
- …prevention, investigations, or risk management - preferably in payments, fintech, or healthcare . + Proven expertise in fraud detection tools, behavioral ... So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more… more
- Molina Healthcare (KY)
- …insurance company + Minimum of three (3) years' experience working on healthcare fraud related investigations/reviews + Proven investigatory skill; ability to ... Certification, Association + Valid driver's license required. **Preferred Experience** + Healthcare Anti- Fraud Associate (HCAFA), Accredited Health Care Fraud… more
- Experian (Costa Mesa, CA)
- …around the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create digital marketing solutions, and gain deeper ... money. We operate across a range of markets, from financial services to healthcare , automotive, agrifinance, insurance, and many more industry segments. We invest in… more
- Meta (Chicago, IL)
- … Compliance, you will provide strategic legal support and guidance on complex healthcare fraud & abuse laws, medical device compliance (FDA) requirements, and ... experience 11. Experience in medical device, life sciences, or healthcare industry 12. In-depth knowledge of fraud ...or healthcare industry 12. In-depth knowledge of fraud & abuse laws, regulations, and enforcement 13. Demonstrate… more
- BlueCross BlueShield of North Carolina (NC)
- …Stay informed about changes in laws, regulations, and industry practices related to healthcare fraud . + Assist in preparing documentation for audits, compliance ... partners. **What You Bring:** + Minimum 7+ years of experience in healthcare fraud detection, investigation, or auditing + Bachelor's degree preferred in … more
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