Medicaid Fraud Nurse Analyst & Investigator
City of Santa Fe Springs
The Nurse Analyst position in City of Santa Fe Springs requires collecting, analyzing, and screening information to determine whether patient abuse, neglect, prescription drug diversion, fraud, waste, or abuse has occurred. The role supports investigative strategies and case objectives, and may interview individuals and witnesses involved in alleged fraud or abuse cases. They write reports, maintain records, and may testify in court or before the grand jury. #J-18808-Ljbffr City of Santa Fe Springs
$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...SuggestedFull timeWork experience placementWork at officeLocal area$299 - $653 per month
Summary of Duties and Responsibilities As a sworn officer, the Investigator is responsible for conducting investigations, including undercover operations and surveillance. He or she shall also be responsible for interviewing witnesses, victims and suspects and preparing...SuggestedFull timePart timeWork at officeLocal areaFlexible hours$76.2k - $151k
Crowe is seeking a Senior Consultant for its Forensic Consulting Group in Chicago, Illinois. This role involves assisting in the investigation of complex business cases, providing litigation support, and performing financial record reviews. Candidates should hold a...Suggested$40 - $49.14 per hour
...Job Description Job Description Cyber Fraud Investigations Analyst Job Details Cyber Fraud Investigations Analyst (Contract) Location: Chicago IL 60611 Duration: 11/10/2025 to 11/09/2026 Team: Global Payments and Billings Key Responsibilities: Investigate...SuggestedHourly payContract workWork experience placementRemote workShift work$299 - $653 per month
Overview The Nurse Analyst is responsible for collecting, analyzing, and... ...drug diversion, fraud, waste, or abuse has occurred... ...in evaluating and creating investigative strategies and case objectives... .../10 coding, CPT coding, and Medicaid claims/utilization data. Qualifications...SuggestedFull timePart timeWork at officeFlexible hours- ...Description Hanrahan Investigations Group is a privately-held corporation, which is managed by Dain Anderson and Christopher J. Hanrahan. We are a full service investigation company specializing in skip trace, product liability, workers compensation/insurance claims,...Permanent employmentFull timeWeekend workAfternoon shift
$89k - $133.4k
...your career. About The Team The mission of Fraud Operations is to act as guardians of the... ...account takeover, and financial partner investigation requests. We strive to improve manual... ...of fraudulent accounts across our global analyst network. Investigate, mitigate, and...Work at officeRemote workWork from homeRelocation- Efinancial, LLC in Chicago, IL seeks a Fraud Investigator to review claims, lead investigations, and ensure compliance with insurance regulations. Candidates should possess a Bachelor's degree and 5-8 years of relevant experience in insurance claims and fraud investigations...Remote job
- ...A government services firm is seeking a Healthcare Fraud Investigator to provide legal support on a large government project. The role involves analyzing financial records, developing case referrals, and advising attorneys on cases. Candidates should possess a relevant...Work at office
$89k - $133.4k
...Stripe is seeking a Payments Fraud Investigator to play a vital role in safeguarding our financial ecosystem. In this position based in Chicago, you will investigate high-risk accounts and collaborate with cross-functional partners to enhance fraud detection and prevention...Remote work$29.75 - $47.75 per hour
...Description: The Financial Crime Risk Investigator II conducts investigations of moderate... ...Sanctions/ABAC & Financial Crime and/or fraud detection/loss prevention training or updates... ...guidance, assistance, and direction to Analysts, Investigators and others Identifies,...Work experience placementWork at officeLocal areaWork from homeFlexible hours- First American Bank is seeking a Debit Card Dispute Specialist in Melrose Park, Illinois. This position involves investigating and resolving debit card and Zelle disputes while ensuring compliance with regulatory standards. Candidates should demonstrate professionalism...Monday to Friday
- First American Bank in Melrose Park, Florida is seeking a Debit Card Dispute Specialist to investigate and resolve debit card and Zelle disputes. You will ensure Regulation E compliance while researching cases and preparing reports as necessary. The ideal candidate will...Monday to Friday
$50k - $65k
...Position Overview The Fraud Analyst will monitor and investigate suspicious activity from multiple sources to control the risk of fraud losses for the Wintrust Financial Corporation. The Fraud Analyst will review available information and communicate regularly with the...Temporary workWork at officeMonday to FridayFlexible hours3 days per week- The Illinois Attorney General (IL) is seeking an Investigator responsible for conducting investigations, including undercover operations and surveillance. The role involves interviewing witnesses and suspects, preparing reports, and communicating with law enforcement....Work at office
- Overview Employment Type: Full-Time, Mid-Level Department: Financial Investigation CGS is seeking a Financial Investigator to join our team... ...law, including but not limited to money laundering, wire fraud, mail fraud, bank fraud, health care fraud, procurement fraud,...Full timeInterim roleLocal areaFlexible hours
- Professional Risk Management Services in Chicago is seeking a Senior Financial Investigator who will organize and conduct detailed examinations during complex financial investigations. The ideal candidate should possess at least ten years of law enforcement experience,...
- Senior Financial Investigator and Financial Investigator (SFI/FI) Organizes and conducts detailed examinations of information generated during... ...area such as forfeiture, organized crime, white‑collar crime, fraud, drug, money laundering, or a similar criminal activity....Temporary workLocal area
$90k - $115k
...Position Summary This job is responsible for performing end-to-end investigations or investigations support functions of external financial... ...include conducting routine to complex investigations, including fraud committed by external parties, money laundering, or terrorist...Work at officeShift workDay shift- The City of Santa Fe Springs is seeking a sworn Investigator responsible for conducting investigations, including undercover operations, and preparing comprehensive reports. Attendance at investigative training is required, and the role involves regular communication with...Work at office
- The Office of the Illinois Attorney General seeks a sworn Investigator to perform thorough investigations, including undercover work and surveillance. The candidate will handle witness interviews and prepare detailed reports, while also communicating with attorneys and...Work at office
- Contact Government Services, LLC in Chicago is seeking a Senior Financial Investigator. In this full-time role, you will lead complex investigations related to financial misconduct, including fraud and asset verification, while working closely with law enforcement and...Full time
$74.16k - $107.11k
Senior Financial Investigator Employment Type: Full-Time, Mid-Level Department: Financial Investigation Responsibilities Plans and conducts... ...violations of federal law, including money laundering, wire fraud, mail fraud, bank fraud, health care fraud, procurement fraud,...Full timeInterim roleLocal areaFlexible hours- Bank of America is seeking an experienced professional for investigating financial crimes in Chicago. The role involves conducting complex investigations, managing reports, and ensuring compliance with regulations. The ideal candidate has over 5 years of financial crimes...
- A leading government services provider in Chicago is seeking a Financial Investigator to conduct investigations into federal law violations. The ideal candidate will have at least four years of investigative experience and strong analytical skills. Responsibilities include...Full time
$114.6k - $171.8k
...team The Risk Operations team is looking for an experienced fraud analyst to join an industry-leading global fraud operations team. This... ...operations teams to proactively identify and mitigate fraud exposure Investigate, conduct root cause analysis, and deploy remediations to...Work at officeRemote work$156.6k - $266.7k
...client-focused team and make a difference in your career! *This is a 1099 Independent Contractor position.* The Principal Investigator (PI) is responsible for conducting objective clinical research that generates independent, high quality and reproducible results...Temporary workPart timeFor contractorsWork at officeImmediate startFlexible hours- Frasco Inc. in Chicago, IL seeks an Investigator I to conduct insurance claims investigations, including scene investigations to collect photo and video evidence from accident locations. The role involves handling document signings, wellness checks, and daily updates on...Hourly payWeekly payPart timeFlexible hours
- The Blue Venture Fund is seeking a Fraud Investigator to join their Security team, responsible for investigating and preventing fraudulent activities affecting Inspira Financial. This role focuses on cyber-enabled fraud, account takeovers, and identity abuse. Candidates...
- Frasco is seeking a part-time Investigator I in Chicago, IL, focusing on thorough insurance claims investigations. The role includes conducting scene investigations, handling document retrievals, and preparing reports. Qualified candidates should have strong attention...Remote jobPart timeWork from homeHome office
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