- New York State Civil Service (New York, NY)
- …analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations .The Medicaid program provides health coverage to ... General, Office of the Title Forensic Auditor: Investigate Complex Medicaid Fraud (6414) Occupational Category Financial, Accounting,...review financial records and advise or assist in the investigation of alleged fraud .* Designation as a… more
- New York State Civil Service (Hauppauge, NY)
- NY HELP No Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud /Nursing Home Abuse (3836) Occupational Category Legal Salary Grade NS ... State NY Zip Code 11788 Duties Description Criminal Justice Division Medicaid Fraud Control Unit-Hauppauge (Suffolk County)Special Assistant Attorney General… more
- 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 1 - 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 (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 1 - Medicaid Fraud -Civil Georgia - Fulton...General position will represent the State of Georgia in investigations and litigation under the Georgia False Medicaid… more
- State of Georgia (Fulton County, GA)
- …the Attorney General. The position filled through this announcement will serve in the Investigations Section of our Medicaid Fraud & Patient Protection ... Intake Coordinator- Medicaid Fraud Georgia - Fulton -...of a High School diploma and twelve months of fraud investigation or related experience. Preferred Qualifications:… more
- State of Georgia (Fulton County, GA)
- …the Attorney General. The position filled through this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties & ... Criminal Investigator - Medicaid Fraud Georgia - Fulton -... investigation and prosecutorial purposes in health care fraud and patient abuse investigations . Utilizes computers… more
- Humana (Dayton, OH)
- …for the Ohio Department of Medicaid (ODM) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in ... Ohio to increase Medicaid program transparency and accountability. _Essential Functions and Responsibilities_...in Ohio + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge… more
- New York State Civil Service (New York, NY)
- …to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations . The Medicaid program provides health coverage to millions of New ... York State NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - AlbanyMedical AnalystReference No. MFCU_ALB_… more
- MyFlorida (Tampa, FL)
- …Law Enforcement Investigator II performs work that may include performing all aspects of Medicaid fraud investigations . This work includes but is not limited ... to fraud in the administration of the Medicaid program, investigation of alleged abuse or...performs work which may include performing all aspects of Medicaid fraud investigations . This work… more
- MyFlorida (Tampa, FL)
- …& Review Analyst position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida or Orlando 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 (Tallahassee, FL)
- …Program Integrity (MPI). MPI is the Agency's lead unit responsible for oversight of Medicaid fraud , waste, and abuse, and ensure compliance with applicable laws, ... involve travel-related activities from 1-15%. Successful completion of a criminal background investigation is a condition of employment. A good attendance record is… more
- Idaho Division of Human Resources (Boise, ID)
- …on which they depend. This position is responsible for conducting complex criminal investigations involving Medicaid provider fraud , patient abuse, neglect ... hire. Salary: $44.60 - $49.06 hourly Primary Duties: The Medicaid Fraud Control Unit (MFCU) is currently...investigative experience, preferably in Medicaid or healthcare fraud , financial crimes or white-collar investigations . +… more
- 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 ... Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking...proceedings, including asset forfeiture actions. Many of the unit's investigations are conducted in coordination with other federal, state,… more
- 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 ... be domiciled in various parishes throughout the state. Louisiana Bureau of Investigations : Provides follow-up investigation services for the LADOJ; responds to… 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 ... 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
- State of Georgia (Fulton County, GA)
- …Justice + General Litigation + Government Services & Employment + Prosecutions + Medicaid Fraud + Consumer Protection + Solicitor General's Unit *To move ... fraud and abuse by providers in the Georgia Medicaid program; + Travel, as required by the position;...will be asked to complete a Georgia Bureau of Investigation (GBI) Waiver, which may be found at http://law.ga.gov/application-forms… more
- Office of Inspector General (Boston, MA)
- …on matters related to oversight of programs connected to the Center for Medicare and Medicaid Services and Medicaid Fraud Control Units. Serves as a mentor ... coordinating, and dissemination of information relative to the conduct of administrative investigations relating to fraud , waste, and abuse with HHS Programs.… more
- State of Colorado (Denver, CO)
- …from being targets of fraud . The Consumer Protection team investigates corporate fraud , false claims, and Medicaid fraud . This section also protects ... local counties upon request, in addition to investigating insurance and securities fraud . + Natural Resources and Environment Section: Works with client agencies to… more
- CVS Health (San Antonio, TX)
- …from the National Health Care Anti- Fraud Association (AHFI) * Experience In Medicaid Compliance, Medicaid Investigations , TX MCO Medicaid FWA ... Fraud , Waste and Abuse activities related to TX Medicaid and CHIP programs. Oversees activities related to the...and CHIP programs. Oversees activities related to the prevention, investigation , and prosecution of health care fraud … more
- LA Care Health Plan (Los Angeles, CA)
- …Field Experience Required: At least 7 years of experience in healthcare compliance, fraud investigations , law enforcement, or related field. At least 5years of ... Director, Compliance on Special Investigations Unit and Fraud , Waste and...(FWA) program, ensuring compliance with Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS),… more