• Investigative Auditor - Medicaid

    State of Georgia (Fulton County, GA)
    …plan the financial and audit strategy for criminal and civil fraud investigations . + Participates in meetings throughout an investigation to discuss various ... Investigative Auditor - Medicaid Fraud Georgia - Fulton -...and analyzes evidence obtained during the course of an investigation and forms conclusions based on the analyses; Prepares… more
    State of Georgia (10/30/24)
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  • Legal Support Analyst: Support Medicaid

    New York State Civil Service (New York, NY)
    …No Agency Attorney General, Office of the Title Legal Support Analyst: Support Medicaid Fraud Investigations (6348) Occupational Category Legal Salary Grade ... Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking...data analysts, and nurses to conduct complex, long-term healthcare fraud investigations . The position is suitable for… more
    New York State Civil Service (11/13/24)
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  • Medicaid Fraud Lawyer

    State of Montana (Helena, MT)
    …critical, accurate, and timely service to protect our citizens.** *Job Overview*: This* Medicaid Fraud Lawyer*position is responsible for handling all issues ... the home page] *Division Overview:** * Montana's*Division of Criminal Investigation *is a diverse public safety team of professionals who...associated with advising the Medicaid Fraud Control Unit within the Bureau… more
    State of Montana (10/29/24)
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  • Legal Nurse: Medical Analyst Support…

    New York State Civil Service (New York, NY)
    …data analysts, and legal support analysts to conduct complex, long-term healthcare fraud investigations . Medicaid provides health coverage to millions ... Agency Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade NS… more
    New York State Civil Service (10/02/24)
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  • Investigate & Prosecute Medicaid

    New York State Civil Service (Albany, NY)
    …GeneralReference No. MFCU_ALB_SAAG_3738The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an attorney with ... No Agency Attorney General, Office of the Title Investigate & Prosecute Medicaid , Financial Fraud (3738) Occupational Category Legal Salary Grade NS Bargaining… more
    New York State Civil Service (11/20/24)
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  • Attorney: Investigate & Prosecute Medicaid

    New York State Civil Service (New York, NY)
    …No. MFCU_NYC_SAAG_3726The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks attorneys with experience prosecuting ... in false Medicaid claims; and the extradition, arrest, and arraignment of a Medicaid fraud ringleader. Additional Comments As an employee of the OAG, you… more
    New York State Civil Service (10/01/24)
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  • Senior Fraud and Waste Investigator,…

    Humana (Indianapolis, IN)
    …contact for the OMPP Program Integrity (OMPP PI) 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_...Bachelor's degree + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge… more
    Humana (11/22/24)
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  • Lateral Attorney: Lead Complex Civil Fraud

    New York State Civil Service (New York, NY)
    …Attorney General, Office of the Title Lateral Attorney: Lead Complex Civil Fraud Investigations (3723) Occupational Category Legal Salary Grade NS Bargaining Unit ... range of skills. Duties Description Division of Criminal Justice Medicaid Fraud Control Unit - New York...City office. The selected attorneys will lead complex civil fraud investigations in the healthcare industry, as… more
    New York State Civil Service (09/18/24)
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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 ... announcement will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the...as a member of an interdisciplinary team in Healthcare fraud investigations , and provides support to members… more
    State of Georgia (09/20/24)
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  • Special Agent (Q070u)

    Arkansas Government Job (Little Rock, AR)
    …data into investigative reports + planning and conducting both civil and criminal investigations related to Medicaid provider fraud , abuse, and neglect, ... policies and procedures. Assists in planning and conducting both civil and criminal investigations related to Medicaid provider fraud , abuse, and neglect,… more
    Arkansas Government Job (10/17/24)
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  • Investigator, Special Investigations Unit…

    CVS Health (Columbus, OH)
    …The SIU Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover ... federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and...Association (AHFI), or have a minimum of three years Medicaid Fraud , Waste and Abuse investigatory experience.… more
    CVS Health (11/23/24)
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  • Investigator- Criminal

    State of Georgia (Fulton County, GA)
    …an operations division. The position filled through this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties & ... Alerts Office of the Attorney General Department of Law Medicaid Fraud - Criminal Investigator Salary: High... investigation and prosecutorial purposes in health care fraud and patient abuse investigations . Utilizes computers… more
    State of Georgia (10/18/24)
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  • Audit Evaluation & Review Analyst

    MyFlorida (Orlando, FL)
    …Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando, Florida. This position involves auditing of ... complex multi-million-dollar health care 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 (11/14/24)
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  • Senior Consumer Service Analyst

    MyFlorida (Tallahassee, FL)
    …of Florida, including in areas of criminal appeals, civil litigation, consumer protection, Medicaid fraud , and victims and civil rights. We invite you to ... conducting intake services for the OAG's Consumer Protection Division, Medicaid Fraud Control Unit., Lemon Law, and...identify patterns of consumer complaints that may lead to investigation or action by the agency. In this role… more
    MyFlorida (11/15/24)
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  • Investigator/Special Agent (1-3)

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …and provides investigative services in cyber crimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud ... in various parishes throughout the State of Louisiana. Louisiana Bureau of Investigations : Provides follow-up investigation services for the LADOJ; responds to… more
    Louisiana Department of State Civil Service (11/20/24)
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  • Operations & Mgmt Consultant II - SES

    MyFlorida (Tallahassee, FL)
    …Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tallahassee, Florida. Pay: $60,000 - $68,000 Annually ... in the Office of the Attorney General within the Medicaid Fraud Control Unit (MFCU) Headquarters in...special trust" and require favorable results on a background investigation including fingerprinting, pursuant to s. 110.1127(2)(a), FS The… more
    MyFlorida (11/16/24)
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  • Assistant Attorney General - Continuous Recruiting

    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
    State of Georgia (10/01/24)
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  • Government Analyst I

    MyFlorida (Tallahassee, FL)
    …of Florida, including in areas of criminal appeals, civil litigation, consumer protection, Medicaid fraud , and victims and civil rights. We invite you to ... identify patterns of consumer complaints that may lead to investigation or action by the agency. In this role...broad range of topics including consumer issues, Lemon Law, Medicaid Fraud , identify theft, and more. This… more
    MyFlorida (11/21/24)
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  • Assistant Attorney General (1-6)

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …criminal matters. The Criminal Division also serves, but not limited to, the following: + Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud ... Civil + Collections + Criminal + Federalism + Gaming + Litigation + Medicaid Fraud Control + Public Protection + No Preference Required Question Agency State of… more
    Louisiana Department of State Civil Service (11/20/24)
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  • Medicare Compliance Officer

    Centene Corporation (Austin, TX)
    …Overseeing the development and implementation of Corrective Action Plans + Coordinating potential fraud investigations and referrals from and with the SIU, where ... reports of potential FWA, including the coordination of internal investigations with the Special Investigations Unit and...coordination with the SIU, collaborating with other sponsors, State Medicaid programs, Medicaid Fraud Control… more
    Centene Corporation (09/20/24)
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