• Assistant Attorney General- Medicaid

    State of Georgia (Fulton County, GA)
    …team to investigate allegations of fraud against the Georgia Medicaid program; 2. Contribute to joint federal-state investigations including the ... Assistant Attorney General- Medicaid Fraud Georgia - Fulton -...General position will represent the State of Georgia in investigations and litigation under the Georgia False Medicaid more
    State of Georgia (08/02/25)
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  • Assistant Attorney General - Medicaid

    State of Georgia (Fulton County, GA)
    … committed against the Georgia Medicaid program. The Medicaid Fraud Division has statewide jurisdiction for the investigation and prosecution of related ... Assistant Attorney General - Medicaid Fraud - Criminal Georgia -...abuse, neglect or exploitation; + Contribute to joint federal-state investigations including the possible litigation of matters in federal… more
    State of Georgia (05/19/25)
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  • Investigator - Medicaid Fraud

    State of Georgia (Fulton County, GA)
    …an operations division. The position filled through this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties & ... Investigator - Medicaid Fraud Georgia - Fulton -... investigation and prosecutorial purposes in health care fraud and patient abuse investigations . Utilizes computers… more
    State of Georgia (07/30/25)
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  • Fraud Waste and Abuse Division Director

    State of Colorado (Denver, CO)
    …working relationships with outside agencies such as the State Attorney General's Office, Medicaid Fraud Control Unit (MFCU), Department of Law, Board of Medical ... on: + Program Integrity + Provider Payment Reviews + Fraud Investigation + Waste and abuse reviews...groups, specifically focusing on program integrity, provider payment reviews, fraud investigations , waste and abuse reviews and… more
    State of Colorado (08/08/25)
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  • Senior Fraud & Waste Investigator

    Humana (Oklahoma City, OK)
    …is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of ... contact for OHCA and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate...be an Oklahoma resident** + 2+ years of healthcare fraud investigations and auditing experience + Knowledge… more
    Humana (08/08/25)
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  • Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste ... * A minimum of 2 years' experience conducting comprehensive health care fraud investigations (Medical Coding or Healthcare (Medical Chart Review/Insurance… more
    Humana (08/08/25)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    …Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator- Medicaid Fraud Division *To move forward in the recruiting process ALL ... announcement will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the...as a member of an interdisciplinary team in Healthcare fraud investigations , and provides support to members… more
    State of Georgia (06/19/25)
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  • Audit Evaluation & Review Analyst

    MyFlorida (Miami, FL)
    …States. Position Summary:This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami or West Palm Beach, Florida, and ... involves auditing complex multi-million-dollar healthcare fraud investigations that can result in criminal...evidence gathered in accordance with the Agency's and the Medicaid Fraud Control Unit's (MFCU) standard operating… more
    MyFlorida (07/23/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Hartford, CT)
    …Care Anti- Fraud Association (AHFI), or a minimum of three years of Medicaid Fraud , Waste, and Abuse review experience. + Billing and Coding certifications ... Bachelors degree or three years of experience in healthcare fraud , waste, and abuse investigations and audits. **Anticipated Weekly Hours** 40 **Time Type** Full… more
    CVS Health (08/09/25)
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  • Assistant Attorney General 1-6 (Statewide)

    Louisiana Department of State Civil Service (LA)
    …Team, and the Insurance Fraud Unit. The Criminal Division also serves: + Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud Control ... Division assists federal, state, and local agencies in the investigation and prosecution of a wide range of criminal...+ Criminal + Federalism + Gaming + Litigation + Medicaid Fraud Control + Public Protection +… more
    Louisiana Department of State Civil Service (07/03/25)
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