• CAPPS (Grand Prairie, TX)
    Job Description GENERAL DESCRIPTION The Medicaid Fraud Control Unit Division of the Office of the Attorney General (OAG) is seeking an Administrative Assistant ... who will provide administrative support work for the division. Work involves disseminating information and maintaining filing systems. Works under limited supervision, with moderate latitude for the use of initiative and independent judgment. JOB POSTING… more
    Upward (07/23/25)
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  • StateJobsNY (Hauppauge, NY)
    Duties Description Criminal Justice Division Medicaid Fraud Control Unit-Hauppauge (Suffolk County) Special Assistant Attorney General Reference No. ... The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks attorneys with experience prosecuting and/or investigating… more
    Upward (07/17/25)
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  • TulaRay (Harrisburg, PA)
    …to established procedures for referral to the Office of Attorney General's Medicaid Fraud Control Section. Prepare summaries of findings, reports, charts, ... the analysis of paid claims, itemized bills, and computer reports through the Fraud Abuse Detection System(FADS). This includes but is not limited to analysis of… more
    Upward (07/18/25)
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  • State of Florida (Gainesville, FL)
    …APD and other agencies, such as law enforcement, DCF Adult Protective Services, Medicaid Fraud Unit, and the Agency for Healthcare Administration. Administrative ... Assists in the development and monitoring of nursing service objectives. Participates as appropriate in all objectives developed for the individuals assigned. Works in conjunction with the registered nurse to assure continuity of care and adherence to IDF/DD… more
    Upward (07/24/25)
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  • Arizona Department of Administration (Phoenix, AZ)
    …and other relevant stakeholders. Participate in special projects related to Medicaid managed care, including rules teams, fraud prevention, contract ... The Arizona Health Care Cost Containment System (AHCCCS), Arizona's Medicaid agency, is driven by its mission to deliver...in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for… more
    Upward (07/18/25)
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  • City of New York (New York, NY)
    …Change. The Office of Liens and Trusts (OLT) is responsible for protecting against fraud and recovering Cash Assistance and Medicaid pursuant to SSL 104, 104-b, ... a disabled person with excess resources to shelter their assets and qualify for Medicaid . The SNT program monitors over 2,000 first party trusts with a portfolio of… more
    Upward (07/16/25)
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  • PACS (Salinas, 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
    Upward (07/29/25)
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  • MorseLife Health Systems (West Palm Beach, FL)
    …Manager and Quality Associate *Oversee Part-D regulatory compliance as well as Medicare Fraud , Waste, and Abuse *Completion of Level II reporting as needed and ... of the laws, standards, and regulations that apply to PACE, Medicare, Medicaid , managed care, and long-term care *Excellent written, verbal, and analytical skills… more
    Upward (07/18/25)
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  • Insight (Chicago, IL)
    …mergers and acquisitions. Solid working knowledge of regulatory issues, including fraud and abuse, False Claims Act, Stark Law, Anti-Kickback Statute, HIPAA/HITECH ... privacy and security, managed care contracting, Medicare and Medicaid , and hospital/physician contracting Qualifications: Juris Doctor (JD) degree from an accredited… more
    Upward (07/18/25)
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  • StateJobsNY (Plainview, NY)
    …administered by OTDA and other Executive agencies (eg, the Department of Health's Medicaid program, the Office of Children and Family Services' foster care and ... benefit program determinations. They may also preside over hearings addressing fraud , license revocation or suspension, violations, or health and safety enforcement.… more
    Upward (07/06/25)
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  • Legal Nurse/Medical Analyst: Medicaid

    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 (05/14/25)
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  • Legal Nurse/Medical Analyst: Medicaid

    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
    New York State Civil Service (06/13/25)
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  • Assistant Attorney General - Medicaid

    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 (05/19/25)
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  • Assistant Attorney General- Medicaid

    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 (05/03/25)
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  • Investigator - Medicaid Fraud

    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
    State of Georgia (07/30/25)
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  • Attorney: Investigate/Prosecute Financial…

    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 (06/05/25)
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  • Attorney: Lead Complex Civil Fraud

    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
    New York State Civil Service (06/05/25)
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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 ... 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
    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 ... 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
    MyFlorida (07/23/25)
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  • Senior Investigator, Special Investigations Unit…

    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
    CVS Health (07/23/25)
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