Legal Support Analyst: Medicaid Fraud Investigations
DGS Office of External Affairs
The Office of the New York State Attorney General's Medicaid Fraud Control Unit seeks a Legal Support Analyst to support complex healthcare fraud investigations in New York City. The role involves assisting attorneys with legal documents, organizing evidence, eDiscovery work, legal research, and coordinating with law enforcement partners to protect the integrity of New York's Medicaid program. Qualifications include a Bachelor's degree, proficiency with common software, strong analytical and #J-18808-Ljbffr DGS Office of External Affairs
- ...HomeFirst, our Medicare and Medicaid managed care health plans, are... ...on their own terms. The SIU Fraud Investigator is responsible for... ...collaborates with compliance, legal, operational stakeholders, regulatory... ...law enforcement. The role supports Elderplan's Compliance...LegalFraud
- ...Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in... ...Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data) Communication skills:...LegalFraudFull timeWork experience placementWork at officeLocal area
$46.99k - $112.2k
...Position Summary The Senior Investigator, Aetna Special... ...suspected acts of healthcare fraud and abuse. This... ...claims submitted to the Medicaid lines of business for... ...for both clinical and legal review Collaborate with... ...developing evidence, supporting allegations for fraud...LegalFraudHourly payFull timeTemporary workWork at officeLocal area$91.51k
...Office of theTitle: Attorney: Investigate/Prosecute White-Collar Crimes... ...acts related to securities fraud, embezzlement, unlicensed practice... ...includes attorneys and analysts who collaborate with OAG detectives... ...identity.How to Apply Name : Legal Recruitment Telephone : Fax :...LegalFraudPermanent employmentFull timeWork at officeRemote work2 days per week$56.2k - $101k
...Position Purpose Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical... ...identify potential misconduct and support case resolution. Document investigative... ...business partners, compliance, legal, provider and payment integrity teams...LegalFraudFull timePart timeH1bWork at officeRemote workFlexible hours$102k - $128k
Assistant District Attorney Strategic Investigations Bureau Location: Kew Gardens, NY | Department: Legal | Job Type: Managerial | ID: 1540 We are seeking experienced... ...proactive investigations, including: Insurance fraud cases Stolen car cases from the NYPD or NYSP Auto...LegalFraudWork at officeLocal area- A government services contractor is seeking a Healthcare Fraud Investigator to provide legal support on a large Government project. You will analyze data, review financial and legal documents, and support the development of case referrals. Candidates should have a relevant...LegalFraudFull timeFor contractorsWork at office
$95.6k - $188.4k
...DoAs a Senior Consultant, Forensics and Investigations, you will support the client by researching and... ...public information to identify potential fraud, waste, and abuse vulnerabilitiesTranslate... ...industries/sectors you serveMust be legally authorized to work in the United...LegalFraudLocal area- ...firm , specialising in complex investigations, disputes, intelligence and... ...investigations, disputes and litigation support , ideally gained within a... ...involving allegations of fraud, misconduct, corruption,... ...including General Counsel, external legal advisers and senior...LegalFraudFlexible hours
$230k - $320k
...DEFENSE & INTERNAL INVESTIGATIONS White Collar Defense... ...allegations of securities fraud, money laundering,... ...frameworks ~ Exceptional legal research, writing, and... ...a collegial and supportive culture that encourages...LegalFraudTemporary workFlexible hours$60 - $65 per hour
...full-service engineering, fire investigation, environmental, health and... ...specializing in handling insurance fraud and arson cases and providing... ...in Long Island or Queens to support complex origin and cause... ...assignments from clients or assigned legal counsel. ESSENTIAL...LegalFraudFull timePart timeWork at officeLocal areaRemote work$134k - $269k
...seeking a Director of Financial Investigations & Dispute Advisory Services... ...investigative services to legal counsel, audit committees, government... ...involved in financial and fraud investigations.Overview of... ..., the Director will support the National Consulting Services...LegalFraudFull timeContract workWork experience placementInternshipLocal area- ...a dedicated and detail-oriented Private Investigator to join our team. The ideal candidate will... ...matters, including insurance fraud prevention and detection. This role requires... ...· Suitable vehicle with some form of legal tint and or curtains · Cell Phone ·...LegalFraudWeekend workAfternoon shiftEarly shiftWeekday work
$180k - $400k
...provide flexibility and support our employees’ work-life... ...complex financial crimes investigations and advising clients on fraud risk, compliance, and institutional... ...to executive and legal audiences. The ideal candidate... ...accountants, data analysts, cybersecurity specialists...LegalFraudInterim roleWork at officeRemote work$250k - $325k
...assistance. Our Wellness Program supports employee total well-being by... ...high-profile litigation and investigations. We assist companies, law... ...expert testimony as well as fraud investigations and complianceWork... ...as a trusted advisor to legal teams, corporate executives,...LegalFraudFull timeImmediate start$46.03 - $48.59 per hour
..., the Nursing Home Surveyor / Complaint Investigator will assist the New York State Department... ...information into a clear, concise, legal, and defensible document.Excellent investigative... ..., claims adjudication, medical review, fraud investigation, surveillance or...LegalFraudHourly payWork at officeImmediate startRemote work$120 per hour
...Overview We are seeking experienced Private Investigators, Loss Prevention Specialists, or... ...to projects aimed at improving AI-driven fraud detection, risk assessment, and retail and... ...incident reporting. Evaluate AI responses for legal accuracy, compliance with consumer...LegalFraudRemote jobHourly payContract workTemporary workPart timeFlexible hours$51.44k - $66.13k
...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced Department: Legal Services CGS is seeking an... ...investigative techniques and fraud detection to provide... ...environment in which our employees feel supported, and we encourage professional...LegalFraudFull timeWork at officeLocal areaFlexible hours$150k - $200k
...President of SIU Compliance & Investigations Full Time Senior Management... ...capabilities, improve execution, and support profitable growth. KEY... ...programs, including anti-fraud plans, regulatory reporting,... ...TPAs, self-insured clients, legal partners, regulators, and industry...LegalFraudFull timeContract workRemote work- ...CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit. The role focuses on complex national healthcare fraud investigations across multiple lines of business, including Medicaid-related matters. You will conduct research, perform data mining...Fraud
$106.5k - $186.4k
As an Investigation Manager, you will conduct a diverse array of investigative... ..., Claims, Human Resource, Legal, Underwriting), gathering... ...taken, and preparing a report in support of work performed and... ...skills: Solid experience with fraud or financial crime investigations...LegalFraudFlexible hours$200k - $320k
...regulations, business structuring, fraud and abuse, licensing, reimbursement, and government investigations. Why join us? Why... ...government inquiries. Prepare legal memoranda, regulatory analyses... ...restrictions Medicare and Medicaid Healthcare licensing Provider...LegalFraudLocal area$106.9k - $131.67k
Job Title Assistant Chief Investigator - Support Operations (Department of Financial Services, Investigations... ...and Intelligence Division, Insurance Frauds Bureau) Location New York, NY (City of... ...and essential agencies (procurement, legal, risk, human resources, information...LegalFraudPermanent employmentFull timeWork experience placementWork at officeLocal areaNight shiftWeekend workAfternoon shift$87.59k - $182.46k
...yr Criminal Justice Division Medicaid Fraud Control Unit—Hauppauge (... ...experience prosecuting and/or investigating complex financial wrongdoing... ...accountants/auditors, detectives, and analysts to identify and prosecute... ...; Excellent analytical, legal research, writing, and...LegalFraudFull timeWork at officeLocal areaRemote work2 days per week$120k - $130k
...firsthand supports individuals living with SMI (serious... ...federal health care fraud and abuse law, state-level... ...(including Medicaid requirements), and the... ...the Compliance Officer; legal support is supplied by... ...accomplished on time, investigating reported concerns, managing...LegalFraudFull timeContract workFor contractorsCasual workWork at officeRemote work$130k - $145k
...Compliance Program Management Support execution of the day-... ...Collaborate with Legal and cross-functional... ...standards (e.g., Medicare/Medicaid, FWA laws) Provides... ...and additional investigative activities Monitor compliance... ...), and screen for fraud or misrepresentation....LegalFraudFull timePart timeWork experience placementWork at officeVisa sponsorshipWork visaFlexible hours$165k - $210k
...adding an attorney to its Legal team. This is a newly... ...matters while supporting the company's commercial... ...Support government audits, investigations, corrective action... ...Advise on healthcare fraud and abuse laws and related... ...as well as Medicare, Medicaid, and state insurance and...LegalFraudWork at office3 days per week- ...doing more impactful work, supported by modern systems and... ...Role As Hazel's Head of Legal & Compliance, you will serve... ..., monitoring, reporting, investigations, corrective actions and... ...privacy and security, Medicaid billing integrity, fraud, waste and abuse controls...LegalFraudContract workRemote work
- ...The Legal team at Integra Partners works... ...hiring a Compliance Analyst to be an integral... ...for FWA issues and investigate and audit provider... ...healthcare providers in support of our FWA... ...processes Run the Fraud, Waste, and Abuse... ...how Medicare and Medicaid guidelines impact...LegalFraudTemporary workLocal areaRemote work
- ...diagnostic investments. Supporting over 30 health plans... ...document. About the Chief Legal Officer Position: The... ...resolution, and legal investigations while managing outside... ...regulations, fraud, waste and abuse requirements... ..., Medicare, Medicaid, fraud and abuse laws,...LegalFraudWork at officeRemote workFlexible hours
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