Medicaid Fraud Investigator
Randstad
Medicaid Fraud Investigator – Special Investigations Unit (SIU)
Location: Remote - ideally in the Chicago area
Job Type: Full-time/Contract Level: Associate
Why Join Us? Put your passion where it meets purpose! We attract some of the brightest minds in healthcare. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. Our Special Investigations Unit (SIU) works directly
- ...Office of the Attorney General in Miami is hiring a Law Enforcement Investigator II to conduct investigations related to Medicaid fraud and patient abuse. The role requires state-certified police background, physical exams, and completion of mandated training; it offers...SuggestedWork at office
$31.25 - $35 per hour
Medicaid Fraud Investigator – Special Investigations Unit (SIU) Location: [Remote - ideally in the Chicago area] Job Type: Full-time/Contract Level: Associate Why Join Us? Put your passion where it meets purpose! We attract some of the brightest minds in healthcare...SuggestedHourly payPermanent employmentFull timeContract workTemporary workWork experience placementRemote workShift work$57.78k
MEDICAID FRAUD ANALYST II - 41001293 1 Position Summary Medicaid Fraud Analyst II in the Office of the Attorney General within the Medicaid... .... The analyst provides analytical support for attorneys and investigators on state‑specific and multistate health‑care fraud...SuggestedWork at officeRelocationFlexible hours- ...Fraud Analyst Location US- ID 2026-1567 Remote... ...Familiarity with specific subject matter helpful - Medicare and Medicaid claims, student loan programs, DoD contracting, etc. Excellent...SuggestedFull timeContract workInterim roleRemote workWork from homeHome officeFlexible hours
$78k
...to better or improve the health of people around the globe. Fraud Investigator II Job Number : 2025-48460 Category: Administrative Professional... ...role in combating fraud, waste and abuse (“FWA”) within the Medicaid program. Investigations involve extensive research to...SuggestedFull timeWork at officeShift work- ...Community Care Plan is seeking a Senior Healthcare Fraud Investigator to lead and execute investigations into fraud, waste, and abuse within Medicaid programs. The role emphasizes hands-on data analysis, case development, and end-to-end management from identification...
- ...State of Louisiana is seeking qualified candidates for Investigator/Special Agent positions within the Department of Justice, Office... ...involves duplication and advancement of investigations across Medicaid Fraud Control Unit activities, with emphasis on criminal and...Work at officeFlexible hours
- ...The Office of the Attorney General in Miami, Florida is seeking a Law Enforcement Investigator II to support the Medicaid Fraud Control Unit. This role conducts investigations into healthcare fraud and patient abuse, collecting evidence and coordinating with law enforcement...Work at office
$68.97k
...York State Attorney General is seeking a forensic accountant/auditor for its Medicaid Fraud Control Unit in Albany. This role involves collaboration with attorneys and analysts to investigate complex healthcare fraud cases, ensuring the integrity of New York's Medicaid...Work at officeRemote work$66.96k
...pay The Office of the New York State Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) seeks forensic accountants/auditors (FAA... ...legal support analysts to conduct complex healthcare fraud investigations. The Medicaid program provides health coverage to millions...Work experience placementWork at officeLocal areaRemote workFlexible hours$64k - $76k
FRAUD INVESTIGATIVE ANALYST San Antonio, TX ABOUT VICTORY CAPITAL Victory Capital (NASDAQ: VCTR) is a diversified global asset management firm. We serve institutional, intermediary, and individual clients through our Investment Franchises and Solutions Platform,...Full timeWork at officeLocal areaMonday to FridayFlexible hours$85k - $105k
...Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level CGS is seeking a Healthcare Fraud Investigator to provide legal... ...to the government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data). Communication skills: Ability to interact...Full timeWork experience placementWork at officeLocal area- ...platform pairs analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid, Commercial, and FEP lines of business, returning... ...success, but you will not manage anyone. Strong investigators here come from healthcare payer/vendor backgrounds...Remote work
$56 - $64 per hour
...Qualifications HS diploma or GED or Bachelor’s degree 8 years of experience in fraud, waste & abuse (FWA) investigations or special investigations unit (SIU) including 1 yr experience working with Medicaid Must hold one of the following certifications : CPA (Certified Public...Contract workFor subcontractor- ...humanity and inspire hope. Overview Responsible for complex fraud and abuse investigations and data analysis to identify trends, detect fraud and... ...Federal laws related to fraud, waste or abuse, Medicare and Medicaid regulations, etc. Requirements Required: Bachelor's...Local area
$85k - $105k
...Department: Litigation Support. CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large Government Project in Nashville... ...the Government in civil HCF matters (e.g., Medicare data, Medicaid data, outlier data). Strong communication skills; ability to...Full timeWork experience placementWork at officeLocal area- ...We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands‑on investigation of potential... ...state and federal healthcare regulations—particularly within Medicaid programs. Key Responsibilities Independently manage a caseload...Work at officeRemote work
$68.97k
Medicaid Fraud Control Unit - Pearl River (Rockland County) Forensic Accountant/Auditor Reference No. MFCU_PR_FAA_6405 Application Deadline... ...analysts to conduct complex, long‑term healthcare fraud investigations. The Medicaid program provides health coverage to millions...Full timeWork experience placementWork at officeLocal area$18 per hour
Amherst County Department of Social Services is hiring a Fraud Investigator. This is a part-time position for up to 20 hours per week. The hourly range for this position starts at $18.00/hour (Commensurate with Experience). Fraud Investigator I represents the entry...Hourly payPart timeWork experience placementWork at officeLocal areaRemote work- HCSC is seeking a dynamic individual to join its Fraud Investigations team in Chicago. This role focuses on managing healthcare fraud investigations, IL Medicaid, and coordinating anti-fraud activities across departments. It offers a hybrid flex schedule with in-office...Work at officeFlexible hours3 days per week
$96.1k - $128.1k
...Medicaid Researcher Join AIR as a Researcher focused on Medicaid policy and programs with our Healthcare Innovations team. Our team works collaboratively to address complex challenges related to Medicaid coverage, care delivery, cost containment, and health equity,...Full timeFixed term contractH1bWork at officeLocal areaRemote work$78.8k - $131.3k
...discovering, and recovering revenue, and making timely and informed decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. About the Job: The Sr Fraud Analyst will be responsible for providing investigative and analytical support...Full timeLocal areaRemote work- A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...
$23 - $27 per hour
...Fraud Investigations Analyst Join us in building the future of finance. Our mission is to democratize finance for all. An estimated $124 trillion of assets will be inherited by younger generations in the next two decades. The largest transfer of wealth in human...Hourly payWork at officeFlexible hoursShift workWeekend work3 days per weekWeekday work$59.09k - $86.92k
...As the Fraud Prevention Analyst , you will support UMB Fraud Operations to protect UMB and clients against multi-channel payment fraud loss or loss due to identity theft. These payment channels will include Card, Check, Digital Online Banking, Mobile, Wire, ACH & Instant...Work at officeLocal areaRemote workFlexible hours$107.43k - $176.49k
...Job Title: Fraud Analyst Role Overview: We are seeking an experienced Data Analyst to join our dynamic Payments & Risk team... ...agreements to identify vulnerabilities. Monitor, analyze, and investigate transactions, customer accounts, and financial activities to...Temporary workRemote workWork from homeFlexible hours- ...Jobtailor is seeking a Fraud Analyst to support monitoring of customer financial accounts and investigate potential fraudulent activity. The role involves addressing fraud concerns from clients and associates, escalating suspicious activity, and providing first-line investigation...
- ...the state of Florida. JOB SUMMARY Responsible for assisting with fraud and security related initiatives by providing support to the... ...department and program oversight. ESSENTIAL DUTIES AND RESPONSIBILITIES Investigate, review and analyze cases of fraud, examining data to ensure...Bank staffWork at office
$21.56 - $29.11 per hour
...Payment Fraud Analyst The Payment Fraud Analyst is responsible for reviewing and analyzing suspicious activity related to wire... ...the bank's fraud detection systems and uses sound judgment and investigative skills to determine whether transactions are authorized or potentially...Hourly payWork at officeShift work- ...Enterprise Fraud Analyst The Enterprise Fraud Analyst is responsible for identifying, investigating, and mitigating fraud risks across Educational Federal Credit Union's entire enterprise. This role supports organization-wide fraud prevention efforts by analyzing trends...Work at office
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