• Criminal Investigator

    State of Georgia (Fulton County, GA)
    Criminal Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/73115/other-jobs-matching/location-only) New ... through this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care… more
    State of Georgia (10/10/25)
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  • Social Services Investigator - Fraud

    State of Connecticut, Department of Administrative Services (Hartford, CT)
    Social Services Investigator - Fraud and Resources Hybrid Recruitment # 251002-5042SH-001 Location Hartford, CT Date Opened 10/8/2025 12:00:00 PM Salary $66,733 ... Services (DSS (https://portal.ct.gov/dss?language=en\_US) ) is seeking a Social Services Investigator - Fraud and Resources (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5042SH&R1=undefined&R3=undefined) to… more
    State of Connecticut, Department of Administrative Services (10/08/25)
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  • Intake Coordinator- Medicaid Fraud

    State of Georgia (Fulton County, GA)
    Intake Coordinator- Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/72587/other-jobs-matching/location-only) Hot ... announcement will serve in the Investigations Section of our Medicaid Fraud & Patient Protection Division. Duties...procedures; (2) state laws and rules governing the Georgia Medicaid program; and (3) criminal laws and… more
    State of Georgia (09/26/25)
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  • Law Enforcement Investigator II

    MyFlorida (Fort Lauderdale, FL)
    … II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Fort Lauderdale, Florida. Pay:$60,000.20 - $62,425.00 Annually ... healthcare fraud investigative experience working in a Medicaid Fraud Control Unit, or five (5)...the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of… more
    MyFlorida (10/02/25)
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  • Investigator I, Investigator II,…

    State of Massachusetts (Boston, MA)
    …and INVESTIGATOR III ** ** HEALTHCARE&FAIRCOMPETITIONBUREAU MEDICAID FRAUD DIVISION AttorneyGeneralAndrea Joy Campbell ... isseekinghighlymotivatedcandidatestojoinherteamintheroleof Investigator in the Medicaid Fraud Division.We are currently seeking candidates with a range of… more
    State of Massachusetts (09/22/25)
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  • Investigator /Special Agent 1-4

    Louisiana Department of State Civil Service (LA)
    …and provides investigative services in cybercrimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud ... other Medicaid providers. The MFCU holds offenders accountable through criminal prosecution and civil litigation. From inception through disposition, the nurse… more
    Louisiana Department of State Civil Service (08/23/25)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    …for Job Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the recruiting ... Nurse Investigator Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/64040/other-jobs-matching/location-only) Hot...announcement will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the… more
    State of Georgia (09/18/25)
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  • Investigator , Special Investigative Unit…

    Molina Healthcare (Nampa, ID)
    …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation,… more
    Molina Healthcare (09/22/25)
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  • Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of business. The scope of ... + Prepares recommendations on preventive/corrective measures for the deterrent of future fraud . + Supports other SIU investigators and analysts with their cases by… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Senior Investigator (Aetna SIU)

    CVS Health (Charleston, WV)
    …every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or ... suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive...to prevent payment of fraudulent claims submitted to the Medicaid lines of business + Researches and prepares cases… more
    CVS Health (09/13/25)
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  • Clinical Investigator

    MVP Health Care (Rochester, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... Workplace** . **Qualifications you'll bring:** + BA/BS degree in criminal justice or a related field, and minimum of...involving economic or insurance related matters. + A clinical investigator must have in addition to the above requirements:… more
    MVP Health Care (09/20/25)
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  • Group Supervisor ( Medicaid )

    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 ... also responsible for evaluating and assessing the resources of Medicaid Nursing Home residents through computer bank matches. Claims...allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a… more
    City of New York (09/23/25)
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