- Clarke County Hospital (Osceola, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud , waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance. Actively identifies and mentors new and existing leaders to promote successful… more
- PACS (El Cajon, CA)
- …as according to regulatory requirements. Create the schedule for all Medicare and Medicaid . They also start Medicare coverage for newly qualified patients or send ... updated on changes in Medicare coverage and help determine documents needed for Medicaid reimbursement. Direct the day to day functions of the nursing assistants in… more
- PACS (El Cajon, CA)
- …such to the Director. Provide information to residents/families as to Medicare/ Medicaid , and other financial assistance programs available to the resident. Provide ... development of the department's budget. Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Maintain the… more
- Stinson's (New York, NY)
- …candidates should have experience with the following: Advising clients on healthcare fraud and abuse and compliance, including the Stark Law, federal and state ... False Claims Act. Advising and advocating for clients with Medicare and Medicaid reimbursement issues, including resolution of overpayments, RAC audits, and OIG's… more
- Meduit (Charlotte, NC)
- …complying with all federal and state laws and regulations (HIPPA, Medicare Fraud , Waste and Abuse, etc.) regarding collections policies and procedures Essential ... in a fast-paced environment Knowledge of medical terminology, HIPAA, Medicaid , Medicare, Insurance and FDCPA Experience with medical billing/claims processing… more
- Qlarant (Atlanta, GA)
- …with developmental disabilities. Qlarant is also a national leader in fighting fraud , waste and abuse for large organizations across the country. In addition, ... in Intellectual/Developmental Disabilities services and Centers for Medicare and Medicaid (CMS) regulations Experience with conducting audits and assessments… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade ... York State NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York City Medical Analyst, Opportunity for Registered… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6393) Occupational Category Legal Salary Grade NS ... Albany State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - AlbanyMedical AnalystReference No. MFCU_ALB_… more
- State of Georgia (Fulton County, GA)
- Assistant Attorney General - Medicaid Fraud - Criminal Georgia -...Assistant Attorney General - Medicaid Fraud - Criminal Georgia - Fulton - Atlanta ... of The Attorney General Department of Law Assistant Attorney General - Medicaid Fraud - Criminal Salary - Minimum $72,000/Year, Commensurate with Experience *To… more
- State of Georgia (Fulton County, GA)
- Assistant Attorney General- Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/67792/other-jobs-matching/location-only) Hot ... for Job Alerts The Office of the Attorney General Department of Law Medicaid Fraud Division - Civil Litigation Assistant Attorney General The mission of the… more
- State of Georgia (Fulton County, GA)
- Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/67636/other-jobs-matching/location-only) Hot ... Up for Job Alerts The Office of the Attorney General Department of Law Medicaid Fraud Division - Investigator The mission of the Department of Law is to serve… more
- Humana (Oklahoma City, OK)
- …act as the primary point of contact for OHCA and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in ... Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts investigations into...abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud… more
- New York State Civil Service (Hauppauge, NY)
- …State NY Zip Code 11788 Duties Description Criminal Justice Division Medicaid Fraud Control Unit-Hauppauge (Suffolk County)Special Assistant Attorney General ... Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks attorneys with experience prosecuting and/or… more
- New York State Civil Service (New York, NY)
- …New York State NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit, Civil Enforcement Division-New York City Special ... range of skills.The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks an experienced litigator to serve as a Special… more
- MyFlorida (Tallahassee, FL)
- …Position Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tallahassee, Florida. This position is in the ... Medicaid Fraud Unit. The Attorney General's Medicaid Fraud Control Unit is a Florida-certified law enforcement agency. The duties of this position require… more
- 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 ... filled through this announcement will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the direction of the Fraud Unit… more
- 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 ... financial evidence gathered in accordance with the Agency's and the Medicaid Fraud Control Unit's (MFCU) standard operating procedures, the US Generally Accepted… more
- CVS Health (Carson City, NV)
- …Care Anti- Fraud Association (AHFI), or have a minimum of three years Medicaid Fraud , Waste and Abuse investigatory experience. + Billing and Coding ... effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to...lost funds, and to comply with state regulations mandating fraud plans and practices. **What you will do** -… more
- 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 ... Civil + Collections + Criminal + Federalism + Gaming + Litigation + Medicaid Fraud Control + Public Protection + No Preference Required Question Employer State… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …recovery amounts and processes incoming payments. + Provides support to the Medicaid Fraud and Recovery Investigative Unit's ongoing, statewide operational ... escalated matters. + Develops an advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid ...activities relative to restitution and fraud recoveries. + Pursues the recovery of funds from… more
