- 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 (Albany, NY)
- …online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking ... Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud & Nursing Home Abuse (3774)...NY Zip Code 12224 Duties Description Criminal Justice DivisionMedicaid Fraud Control Unit - AlbanySpecial… more
- New York State Civil Service (Pearl River, NY)
- …application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks a ... NY Zip Code 10965 Duties Description Criminal Justice DivisionMedicaid Fraud Control Unit , Civil Enforcement...Million from home health agencies for cheating workers and Medicaid fraud , and $22.7 Million from a… more
- State of Michigan (MI)
- …400.3425. + Promptly provide information and evidence relating to suspected criminal acts to the Medicaid Fraud Control Unit of the Department of ... Departmental Analyst 9-P11 - Healthcare Fraud Investigator - MDHHS OIG Integrity Division Print...Date 03/14/2025 Closing Date 3/23/2025 11:59 PM Eastern Bargaining Unit NON-EXCLUSIVE REPRESENTED EMPLOYEE (NERE) + Description + Benefits… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …is seeking applications for an Assistant Attorney General 1-6 in the Civil Section of the Medicaid Fraud Control Unit , within the Criminal Division. As ... litigation experience (ie discovery, depositions, motions practice, and trial). Job Concepts The Medicaid Fraud Control Unit is seeking a skilled and… more
- MyFlorida (Tampa, FL)
- …States. Position Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, 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… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Department of Health (DOH), NYS Office of the Medicaid Inspector General (OMIG), NYS Medicaid Fraud Control Unit , local, state, and federal law ... This position is responsible for the accurate and thorough investigation of potential fraud and abuse for all lines of business. The scope of accountability includes… more
- MyFlorida (Orlando, FL)
- …United States. Position Summary: This position is in the Office of the Attorney within the Medicaid Fraud Control Unit in Orlando, 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
- 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 (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
- New York State Civil Service (Syracuse, NY)
- …application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking ... NY Zip Code 13202 Duties Description Criminal Justice DivisionMedicaid Fraud Control Unit - SyracuseOffice...individuals and corporate entities responsible for improper or fraudulent Medicaid billing schemes, as well as to investigate and… more
- MyFlorida (Tallahassee, FL)
- …Position Summary: This position is in the Office of the Attorney General withing the Medicaid Fraud Control Unit in Tallahassee, Florida. This position ... is responsible for a variety of functions as legal support to the Medicaid Fraud Control Unit , in the Tallahassee Headquarters Office. This position… more
- State of Montana (Helena, MT)
- …service to protect our citizens. *Job Overview*: This position is an*Auditor/Analyst*for theMedicaid Fraud Control Unit . The position is responsible to audit ... in this position and are encouraged to apply.* * **Title:** *Auditor - Medicaid Fraud Unit * **Location:** *Helena* **Requisition ID:** *25140265* more
- Molina Healthcare (Columbus, OH)
- **Job Summary** Acts as liaison between Special Investigations Unit (SIU) operations and health plans and internal functional teams to assure a smooth workflow ... escalations are achieved. Coordinates with Associate Vice President, Special Investigations Unit , Regulatory Operations (AVP- SIU) within to oversee the special… more
- 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
- MyFlorida (Riviera Beach, FL)
- …reports, and Medicaid file resolution. + Identifies cases of possible fraud and/or overpayment; makes appropriate referrals to fraud and overpayment ... assigned to the Office of Economic Self-Sufficiency. Position provides back-up to the unit 's supervisor in day-to-day duties which include but are not limited to;… more
- 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
- 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
- New York State Civil Service (New York, NY)
- …Hearing Officer (NY HELPS) Occupational Category Legal Salary Grade 25 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From $65001 ... 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… more
- Access Dubuque (Dubuque, IA)
- …of compliance requirements for federally funded healthcare programs (eg, Medicare and Medicaid ) regarding fraud , waste and abuse. Brings any questions or ... of emotional intelligence. Has the capacity to be aware of, control , and appropriately express emotions, and handles interpersonal relationships judiciously and… more