Healthcare Fraud SIU Leader
The Intersect Group
The Intersect Group in Los Angeles seeks an experienced Manager for the Special Investigations Unit (SIU) to lead healthcare fraud investigations and supervise a team of investigators. You will guide investigations into suspected fraud, waste, and abuse, while ensuring quality and compliance with regulations. Ideal candidate brings extensive managed care fraud investigation experience, strong people-management skills, and a track record of improving investigative processes to achieve #J-18808-Ljbffr The Intersect Group
- ...provider training communications, and conduct data analysis for fraud detection. The role includes handling investigations, reporting... ...to law enforcement. The position requires at least 5 years in healthcare fraud investigation, advanced analytical ability, and strong communication...Fraud
- CNA Insurance is seeking a senior investigator to lead complex fraud investigations within California, leveraging deep knowledge of state regulations and fraud trends. The role supports claim teams and counsel, with responsibilities spanning strategy, data analysis, and...Fraud
- ...Angeles seeks a Director of Compliance to lead the Special Investigations Unit. Responsibilities include overseeing investigations into fraud and abuse, ensuring compliance with regulations, and leading program initiatives. The ideal candidate will have extensive experience...FraudFull time
$88.85k
...member of the Special Investigations Unit (SIU) performing as a Lead team member,... ...training communications and documentation, fraud data analysis, data mining, non-fraud referrals... ...At least 5 years of experience in healthcare fraud investigation/detection or a related...FraudLocal area- Allied Universal Compliance and Investigation Services in Los Angeles is seeking an SIU Investigator to examine claims with red flags suggesting fraud. You will apply knowledge of insurance policies and fraud components to determine if claims should be reported to state...Fraud
- Blue Shield of CA is seeking a Special Investigations Investigator, Consultant to join the SIU team. You will conduct investigations into health care fraud, waste, and abuse in accordance with company policies and applicable laws, across all lines of business. The role...FraudWork at office
- Military, Veterans and Diverse Job Seekers seeks a SIU Investigator to conduct field and desk investigations of insurance claims from... ...under oath while coordinating with NICB, the Department of Insurance Fraud Division, and law enforcement. Responsibilities include training...FraudRemote jobHome office
- Armanino seeks a seasoned litigation support professional to lead fraud investigations, forensic accounting engagements, and dispute consulting matters. You will review financial information, oversee discovery, and develop analyses for litigation support. You will also...Fraud
- ...The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation... ...investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop...FraudWork experience placementWork at officeRemote work
$13.2k - $17.73k
...Department of Justice in Los Angeles County seeks a Criminal Prosecutions Supervisor to lead a team within the Division of Medi-Cal Fraud and Elder Abuse. The role involves supervising DAGs, coordinating attorneys and staff, and handling high-level litigation and investigations...FraudPermanent employmentFull timeRemote work$30 - $38 per hour
...SIU Investigator Job Locations US-CA-Los Angeles | US-CA-Bellflower Requisition... ...claim investigation. As a global leader, we provide dynamic opportunities for claim... ...Insurance policies and the components of fraud to determine If claims warrant reporting to...FraudWork at officeLocal area- ...Special Unit Investigations (Siu) Field InvestigatorEthos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that...FraudCasual workLocal areaNight shift
$25 - $40 per hour
...Range: $25.00 To $40.00 Hourly Origin is seeking an experienced SIU Investigator to join our growing team in Los Angeles, CA . This role... ...is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators...FraudHourly payFlexible hours- ...maintained and temperature logs are maintained Report all safety risks or issues, and illegal activity, including: robbery, theft or fraud; notify management of customer or employee accidents Train department associates on inventory/stocking and Computer Assisted...FraudSeasonal workLocal area
- Manager, Special Investigations Unit (SIU) Position Overview We are seeking an experienced Special Investigations Unit (SIU) Manager to lead healthcare fraud investigation operations and oversee a team of investigators. This individual will be responsible for identifying...Fraud
$72k - $141k
...Under minimal direction, initiates and manages suspected provider fraud investigations (medical, legal, etc.) involving the highest... ...awareness or regulatory compliance training and mentoring lower SIU staff. Leads or directs the preparation of cases for presentation...FraudWork experience placementWork at office- ...within the Special Investigations Unit (SIU). This interim role will focus on optimizing... ...candidate will bring a combination of healthcare compliance, investigative operations, and... ...experience in healthcare compliance, SIU, fraud, waste and abuse (FWA), investigations, audit...FraudTemporary workInterim role
- ...investigations into misconduct, including potential fraud or policy violations. You will support the... ...the enterprise and work closely with senior leaders to resolve complex issues. The role requires a strong knowledge of healthcare regulations, significant investigative...Fraud
- The California Department of Justice seeks a Deputy Attorney General IV to lead civil litigation against healthcare fraud impacting Medi-Cal, handling FCA violations and related claims in state and federal courts nationwide. Hybrid work with 1-2 days in the office. This...FraudWork at office
- ...repair and of customer or employee accidents Report all safety risk, or issues, and illegal activity, including robbery, theft or fraud Adhere to all local, state and federal laws, and company guidelines Ability to work cooperatively in high paced and sometimes stressful...FraudSeasonal workLocal area
$250k - $350k
...Healthcare Litigation AttorneyLos Angeles, California, United States Or refer someone Job Openings Healthcare Litigation AttorneyAbout the... ..., including familiarity with federal and California healthcare fraud and abuse laws.RequirementsAt least three years of litigation...FraudTemporary workRemote work$220k - $310k
Vivo HealthStaff is recruiting for a Healthcare Associate Attorney for a nationally recognized law firm. This is a full-time permanent position... ...providers Medicare/Medicaid enrollment and reimbursement Fraud and abuse compliance (Stark Law, Anti-Kickback, CMP) HIPAA...FraudPermanent employmentFull timeWork at officeMonday to Friday- ...health systems, physician groups, life sciences companies, and healthcare investors. The firm's nationally recognized Health Law Practice... ...clients on federal and state healthcare regulations, including fraud and abuse laws, the corporate practice of medicine, HIPAA, and...FraudFull time
$75 - $135 per hour
...Job Description Now Hiring – Of Counsel Attorney | Federal Criminal & Healthcare Fraud Defense (California) Watson & Associates, LLC is seeking a highly experienced Federal Criminal Defense Attorney to serve in an Of Counsel capacity for our California federal practice...FraudHourly payContract workPart timeWork at officeImmediate startRemote workFlexible hours$159k - $186k
...Habitat Health is supported by leading healthcare organizations and investors including New... ...Habitat's thesis and operating model. This leader will facilitate pre-launch partner workstreams... ...requirements. Beware of Scams and Fraud Habitat Health is committed to...FraudContract workTemporary workFixed term contractLocal areaRemote workFlexible hours- ...work into weeks of results. Our clients span Financial Services, Healthcare & Life Sciences, Retail, Manufacturing, Energy, and more — and the outcomes speak for themselves: 97% faster reports, 40% fraud reduction, $1.5M in client savings, and 10× client growth.We don'...Fraud
- ...specialized consulting firm focused on healthcare, medspa, and wellness organizations. The... ...and grow businesses, enabling owners and leaders to focus on delivering exceptional care... ...statutes, licensing, reimbursement, and fraud and abuse laws. Experience advising healthcare...FraudContract workRemote work
- CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The role requires initiative, detail orientation, and the ability to perform under pressure while contributing to litigation support for government...Fraud
- A healthcare franchise, Health Atlast, seeks a Franchise Marketing, Sales and Development Specialist in Los Angeles, CA. The role involves managing franchise sales and development, driving lead generation, and implementing marketing strategies. The ideal candidate has...Remote job
$130k - $180k
Johnson Controls, a global leader in thermal management, mission-critical building systems, energy efficiency, and decarbonization, helps... ...required in rapidly expanding industries such as data centers, healthcare, pharmaceuticals, advanced manufacturing, and higher education....Local area
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