- State of Georgia (Fulton County, GA)
- …Job Alerts The Office of the Attorney General Georgia Department of Law Nurse Investigator - Medicaid Fraud Division *To move forward in the recruiting process ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot...announcement will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the direction of… more
- State of Georgia (Fulton County, GA)
- …Job Sign Up for Job Alerts Office of the Attorney General Department of Law Medicaid Fraud - Criminal Investigator Salary: High 40's Min starting The mission of ... Investigator - Criminal Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/58544/other-jobs-matching/location-only) Hot… more
- Humana (Indianapolis, IN)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects...areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities… more
- Northwell Health (Melville, NY)
- …and Workers Compensation. + Performs financial assessment of patients; refers potential Medicaid cases to Medicaid Investigator . + Gathers documentation ... and assists in the completion of the Financial Assistance Program (FAU) application process. + Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital. + Establishes… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The DSS Accountability Office ... fraudulent acts against the social service programs administered by HRA/DSS. The Medicaid Investigations Division (MID) is mandated to provide expanded levels of… more
- Staffing Solutions Organization (OH)
- Healthcare Compliance Investigator - Ohio Ohio, USA * Virtual Req #1013 Friday, November 15, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public ... of our clients and the people they serve. **HEALTHCARE COMPLIANCE INVESTIGATOR - OHIO** **Duties & Responsibilities:** + Investigates incidents pertaining to… more
- State of Michigan (MI)
- Regulation Agent 9-P11 (Fraud Investigator ) - MDHHS OIG - Macomb, Oakland, Wayne Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4680830) ... Apply Regulation Agent 9-P11 (Fraud Investigator ) - MDHHS OIG - Macomb, Oakland, Wayne Co...conduct investigations of fraud, waste or abuse by recipients, non- Medicaid providers and vendors of all Michigan Department of… more
- WellLife Network (Lake Success, NY)
- QA Specialist/ Investigator - QAS049 - Mon-Fri 9AM-5PM Job Details Job Location Corporate Office (Main Office) - Lake Success, NY Position Type Full-Time Education ... to thrive and realize their fullest potential. Position Summary: As a QA Investigator with WellLife Network, you'll play a critical role in safeguarding both our… more
- State of Nevada (NV)
- COMPLIANCE/AUDIT INVESTIGATOR 2 APPROXIMATE ANNUAL SALARY - $59,257.44 to $87,570.72 PAY GRADE: 33 For more information on benefit and retirement programs, please ... pertaining to a specific program or regulatory area such as securities, Medicaid , mortgage lending, or workers' compensation. Investigators allocated to this series… more
- CVS Health (Columbus, OH)
- …care more personal, convenient and affordable. **Position Summary:** As a Senior Investigator you will conduct high level, complex investigations of known or ... schemes - Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business - Researches and prepares cases for clinical and legal… more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... legal processes (Commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid , Tricare, Pharmacy, etc.) + Experience with UNET, Comet, Macess/CSP,… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Sign Up for Job Alerts Office of the Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… more
- MyFlorida (Orlando, FL)
- …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 ... when applying the rules, regulations, and laws of the Medicaid unit, both Federal and State. 30% Requires the...guidance as required by the Assistant Attorney General, Lead Investigator and Medical Investigator . 30% Serve as… more
- MyFlorida (Tallahassee, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... may have the opportunity to work with multiple units within the bureau. The Florida Medicaid program is one of the five largest in the country and has an estimated… more
- Louisiana Department of State Civil Service (LA)
- …recognized by the International Fire Service Accreditation Congress B) Fire Investigator -National Fire Academy or equivalent recognized by the International Fire ... Life Safety Code Specialist certification from CMS (Centers for Medicare and Medicaid Services) E) NICET 1 (National Institute for Certification in Engineering… more
- Mount Sinai Health System (New York, NY)
- …including but not limited to financial verification, preparation of Medicaid applications, billing, processing accounts, payment and/or charge posting, account ... on specific specialized accounts receivable (bilingual preferred). + Interviews potential Medicaid patients before admission, during admission and after discharge of… more
- Baystate Health (Springfield, MA)
- …**GENERAL SUMMARY OF POSITION:** Under the general direction of the Principal Investigator or designee, the Project Manager is responsible for managing the ... funded, large scale projects with a focus on health services research and Medicaid policy. Specific projects currently include research related to maternal and child… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …findings with collaborators at the FDA, CDC, and Centers for Medicare and Medicaid Services. Our team operates as a highly functional and independent unit in ... specified field while receiving advanced training from a designated Principal Investigator to enhance professional skills and research independence needed for… more
- Hackensack Meridian Health (Hackensack, NJ)
- …new clinical knowledge into practice. 37. Actively engages in research as a primary investigator or co- investigator . 36. Acts as a mentor and or reviewer for ... NCCPA. 3. BLS and ACLS Certifications. 4. CDS/DEA Registration. 5. Medicare and Medicaid Certification to be obtained within 3 months of hire. Licenses and… more
- University of Washington (Seattle, WA)
- …screening for social determinants of health, and evaluating the impact of the Medicaid Transformation Project on ED utilization in King County. We have an ... in community health centers and its implications for access to care for Medicaid beneficiaries (PI: Dr Amber Sabbatini). We anticipate the candidate will support… more