• 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 (6368) Occupational Category Legal ... City New York State NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York City Medical Analyst,… more
    New York State Civil Service (02/12/25)
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  • Forensic Auditor: Entry-Level, Investigate…

    New York State Civil Service (Albany, NY)
    …City Albany State NY Zip Code 12224 Duties Description Division of Criminal Justice Medicaid Fraud Control Unit - AlbanyForensic Accountant/Auditor ... via this link.The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks forensic accountants/auditors (FAA) for… more
    New York State Civil Service (01/09/25)
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  • Attorney: Investigate, Prosecute Medicaid

    New York State Civil Service (New York, NY)
    …online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks attorneys ... Attorney General, Office of the Title Attorney: Investigate, Prosecute Medicaid Fraud (3755) Occupational Category Legal Salary...NY Zip Code 10005 Duties Description Criminal Justice DivisionMedicaid Fraud Control Unit - New… more
    New York State Civil Service (01/08/25)
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  • Investigator 3

    Iowa Department of Administrative Services (State Of Iowa, IA)
    …Appeals, and Licensing (DIAL) is seeking a capable and enthusiastic individual to join the Medicaid Fraud Control Unit (MFCU) as an Investigator 3. ... Who We Are It is the mission of the Iowa Medicaid Fraud Control Unit to maintain the integrity of the Iowa Medicaid program and the provision of … more
    Iowa Department of Administrative Services (02/11/25)
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  • Audit Evaluation & Review Analyst - 1 1 1

    MyFlorida (Miami, FL)
    …States. Position Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida and involves ... reviews of financial evidence gathered in accordance with the Agency's and the Medicaid Fraud Control Unit 's (MFCU) standard operating procedures, the US… more
    MyFlorida (01/31/25)
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  • Prosecutor

    State of Montana (Helena, MT)
    …Overview*: This*Prosecutor*position is responsible for handling all issues associated with advising the Medicaid Fraud Control Unit within the Bureau ... to present the claim of the State as a civil case. Acts as advisor to Medicaid Fraud Control Unit of DOJ and Montana Department of Public Health and… more
    State of Montana (02/13/25)
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  • Operations & Mgmt Consultant II - SES - 1

    MyFlorida (Tallahassee, FL)
    …Position Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tallahassee, Florida. Pay: $60,000 ... Will Do: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit (MFCU) Headquarters in Tallahassee and is a direct… more
    MyFlorida (02/10/25)
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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 ... is to investigate and prosecute health care providers who have defrauded the Medicaid program. The MFCU also investigates and prosecutes allegations of abuse, and… more
    Louisiana Department of State Civil Service (11/20/24)
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  • Assistant Attorney General (1-6)

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …of criminal matters. The Criminal Division also serves, but not limited to, the following: + Medicaid Fraud Control Unit : The Louisiana Medicaid ... + Civil + Collections + Criminal + Federalism + Gaming + Litigation + Medicaid Fraud Control + Public Protection + No Preference Required Question Employer… more
    Louisiana Department of State Civil Service (11/20/24)
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  • Senior Attorney/Assistant Attorney 1/2/3- NYS…

    New York State Civil Service (Albany, NY)
    …care model contracts and participates in discussions with the Office of the Attorney General, Medicaid Fraud Control Unit , and the Department of Health.* ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title...(2 positions) Occupational Category Legal Salary Grade 25 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary… more
    New York State Civil Service (02/07/25)
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  • Assistant Counsel (2 positions)

    New York State Civil Service (Albany, NY)
    …care model contracts and participates in discussions with the Office of the Attorney General, Medicaid Fraud Control Unit , and the Department of Health.* ... NY HELP No Agency Medicaid Inspector General, NYS Office of the Title...(2 positions) Occupational Category Legal Salary Grade NS Bargaining Unit M/C - Managerial/Confidential (Unrepresented) Salary Range From $90931… more
    New York State Civil Service (02/07/25)
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  • Management Analyst 3

    State of Nevada (NV)
    …which may include provider education, recoupment of overpayments, or a referral to the Medicaid Fraud Control Unit for criminal investigation. This ... join the Program Integrity Surveillance and Utilization Review (SUR) Unit in the Reno office. Under the supervision of...Medicaid claims data and billing practices to identify fraud , abuse, and waste in the Nevada Medicaid more
    State of Nevada (02/11/25)
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  • Assistant Attorney General-DLA

    MyFlorida (Miami, FL)
    …This attorney position is a Civil Litigator in the Civil Enforcement Bureau within the Medicaid Fraud Control Unit in Tallahassee or Miami, Florida. ... The incumbent represents the State of Florida in all Medicaid Fraud Cases and handles settlement negotiations, pleadings, depositions, pre-trial, jury, and… more
    MyFlorida (02/14/25)
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  • Provider Liaison

    MyFlorida (Fort Lauderdale, FL)
    …including the Quality Improvement Organization (QIO), Medicaid Program Integrity (MPI) and the Medicaid Fraud Control Unit ( MFCU) as while upholding ... HIPAA requirements. The Work You Will Do + Review the QIO reports and identify deficiencies needing correction. Notify the provider of deficiencies needing correction and provide a plan of remediation template for provider completion. + Review the provider… more
    MyFlorida (02/08/25)
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  • Attorney: Criminal Appeals & Federal Habeas Corpus…

    New York State Civil Service (New York, NY)
    …the Criminal Enforcement and Financial Crimes Bureau, the Organized Crime Task Force, and the Medicaid Fraud Control Unit , and must be provided an ... Corpus Bureau (3759) Occupational Category Legal Salary Grade NS Bargaining Unit M/C - Managerial/Confidential (Unrepresented) Salary Range From $84559 to $176665… more
    New York State Civil Service (01/14/25)
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  • Medicaid Integrity Specialist 1/Trainee…

    New York State Civil Service (Albany, NY)
    …list.* Maintaining and loading Drug Utilization Review (DUR) and Bureau of Medicaid Fraud Allegations (BMFA) cases into tracking database.* Performing ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title...HELPS Occupational Category No Preference Salary Grade 18 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary… more
    New York State Civil Service (02/07/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    …and revise procedures as necessary. - Direct the planning of data quality and control measures governing the Triage unit . Ensure that systems and applications ... area manages the following five units: Data Analytics, Data Reporting, Triage Unit , Investigation & Administrative Unit (IARU) and Information Systems Technology… more
    City of New York (02/12/25)
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  • Medicare Compliance Officer

    Centene Corporation (Austin, TX)
    …with the SIU, collaborating with other sponsors, State Medicaid programs, Medicaid Fraud Control Units, commercial payers, and other organizations ... retaliation, good faith concerns regarding Medicare non-compliance and potential instances of fraud , waste and abuse (FWA) + Responding to reports of potential FWA,… more
    Centene Corporation (01/10/25)
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  • SNAP QA Compliance Specialist

    State of Colorado (Denver, CO)
    …for details! (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits) About the Work Unit The Supplemental Nutrition Assistance Program Quality ... Assurance (SNAPQA) unit exists to: + Administer the federally mandated state...exists to: + Administer the federally mandated state "Quality Control System" that enhances payment accuracy and improves program… more
    State of Colorado (02/07/25)
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  • Preschool Integrated Classroom Para Educator 6.5…

    Davenport Community Schools (Davenport, IA)
    …employees working with/for Special Education students will be required to pass the Medicaid Fraud background check, prior to hire, successfully applying, and/or ... Education & $15.21/hr Special Education.Current employees in the bargaining unit : Please refer to the salary schedule established by...If at any time your name appears on the Medicaid Fraud listing, you will be notified… more
    Davenport Community Schools (01/11/25)
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