• Office Manager : Medicaid

    New York State Civil Service (New York, NY)
    NY HELP No Agency Attorney General, Office of the Title Office Manager : Medicaid Fraud Control Unit in NYC (6407) Occupational Category Legal Salary ... of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an Office Manager for its New York City office . The… more
    New York State Civil Service (10/22/25)
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  • Legal Nurse: Investigate Medicaid

    New York State Civil Service (New York, NY)
    …Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud /Patient Abuse (6400) Occupational Category Legal Salary Grade NS ... Registered NursesThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking experienced Registered Nurses to… more
    New York State Civil Service (10/15/25)
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  • Business Office Manager (Accountant…

    State of Colorado (Rio Grande County, CO)
    Business Office Manager (Accountant III) - Homelake Veterans Community Living Center-Monte Vista Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4892152) Apply  Business Office Manager (Accountant III) - Homelake Veterans Community Living… more
    State of Colorado (10/22/25)
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  • Deputy Director of EISG: Position for Expr. IT…

    New York State Civil Service (Albany, NY)
    …Albany State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany-areaDeputy Director, Electronic Investigative ... NY HELP No Agency Attorney General, Office of the Title Deputy Director of EISG:... of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking… more
    New York State Civil Service (10/10/25)
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  • Law Enforcement Lieutenant

    MyFlorida (Miami, FL)
    …position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida. Pay:$72,400.00 Annually Qualifications: Florida ... and timely cooperation with requests from the MFCU Accreditation Manager and members of the Accreditation Team. This is... office . 5% Assist in the prosecution of Medicaid fraud and/or patient abuse to include… more
    MyFlorida (10/14/25)
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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 ... Statewide, LA Job Type Unclassified Job Number AG(07.02.2025)AZ1 Department DOJ- Office of the Attorney General Opening Date 07/02/2025 Closing...+ Criminal + Federalism + Gaming + Litigation + Medicaid Fraud Control + Public Protection +… more
    Louisiana Department of State Civil Service (10/02/25)
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  • Manager , Financial Compliance Audit,…

    LA Care Health Plan (Los Angeles, CA)
    Manager , Financial Compliance Audit, $10,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 ... and to support the safety net required to achieve that purpose. Job Summary Manager , Financial Compliance Audit (Finance) has a $10,000 SIGN-ON BONUS. This role is… more
    LA Care Health Plan (08/09/25)
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  • Healthcare Process Risk Manager

    Grant Thornton (Columbia, SC)
    As a Process Risk Experienced Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their ... for business and IT process optimization, profit improvement, cost reduction, fraud prevention, internal control, and compliance. + Perform engagement management… more
    Grant Thornton (10/14/25)
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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 ... Location Statewide, LA Job Type Unclassified Job Number AG(5/23/2025)AZ1 Department DOJ- Office of the Attorney General Opening Date 05/23/2025 Closing Date… more
    Louisiana Department of State Civil Service (08/23/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …Services (CMS). Provides routine interaction and coordination with the BCBS Association National Anti- Fraud office , BC/BS Plan SIUs, FEP, CMS, DOH, OMIG, MFCU, ... for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of...Recommends providers for referrals to the New York State Office of Professional Medical Conduct Office of… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Healthcare Compliance Auditor - Enterprise Risk

    Bon Secours Mercy Health (Cincinnati, OH)
    …to hospital revenue cycle risk areas highlighted by the OIG, Medicare, State Medicaid , State Insurance Fraud ; Managed Care or Governmental Value-Based payment ... operational excellence. Job Description **Summary** Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon Secours… more
    Bon Secours Mercy Health (10/13/25)
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  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …summarize and communicate complex findings effectively. Reporting to the Senior Manager , Compliance Auditing, Monitoring and Analytics, this individual assists in ... risk areas such as regulatory changes, billing and coding, privacy and security, and fraud and abuse. + Perform data analysis and review of documentation to identify… more
    Option Care Health (10/19/25)
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  • Coding Auditor-Edu-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …Responsible for education and training for all Covenant coders, CDI, and/or physician office staff. Serves as a resource to coders, CDI staff, Quality and Case ... Managers, Decision Support and physician office personnel regarding coding questions. Responsible for educating coders, CDI staff, and assisting with physician… more
    Covenant Health Inc. (10/18/25)
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  • Tort Specialist - Human Services Program…

    State of Minnesota (St. Paul, MN)
    …+ **Hiring Agency/Seniority Unit** : Human Services Dept / MAPE DHS Central Office + **Division/Unit** : Health Care Administration / Integrity and Accountability + ... Insurance Integrity and Accountability Division exists to assure that Medicaid is the payor of last resort in those...and recovery deadlines. + Assists the unit supervisor, section manager , staff attorney, and division director with research and… more
    State of Minnesota (10/25/25)
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  • Administrative Asst

    UnityPoint Health (Waterloo, IA)
    …responsibilities include providing administrative support to ensure efficient operation of the office . Supports manager (s) and/or employees through a variety of ... department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud , waste and abuse. Brings any questions or… more
    UnityPoint Health (10/22/25)
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  • Nurse I - Registered Nurse I - Cmhhip

    State of Colorado (Pueblo, CO)
    …for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed. + Description + Benefits + ... to the Lead Nurses promptly + Utilizes resources available in the Staffing Office Department Standards: + Maintains nursing standards of care for their assigned… more
    State of Colorado (10/04/25)
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  • IT Security Engineer

    UnityPoint Health (Grimes, IA)
    …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud , waste and abuse. Brings any questions or ... liaison between IT and CE. The position reports directly to the Manager , Clinical Engineering and reports indirectly through a dotted line reporting structure… more
    UnityPoint Health (09/30/25)
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  • Medical Assistant

    UnityPoint Health (Cedar Rapids, IA)
    …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud , waste and abuse. Brings any questions or ... duties. . Responsible for tracking system for follow-up appointments related to office visits, laboratory tests and procedures to regular follow patients monitoring… more
    UnityPoint Health (08/26/25)
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  • Environmental Services Supervisor

    UnityPoint Health (Cedar Rapids, IA)
    …hospital and department compliance for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud , waste and abuse. Brings any questions or ... The position is one of five positions reporting to the Environmental Services Manager . Why UnityPoint Health? At UnityPoint Health, you matter. We're proud to be… more
    UnityPoint Health (10/21/25)
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  • Medication Authorization and Access Supervisor

    Beth Israel Lahey Health (Boston, MA)
    …members work to ensure information accuracy. (essential) 9. Monitors situations for fraud , waste, and abuse of Medicare/ Medicaid benefits and reinforces HIPAA ... individual will report to the Med Auth and Access Manager and will be responsible for the supervision of...systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint… more
    Beth Israel Lahey Health (09/22/25)
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