Medicaid Fraud & Compliance Analyst
$20 per hourMy Florida Families
Agency for Health Care Administration in Florida seeks an OPS Medical Health Care Program Analyst to support fraud and abuse prevention within the Medicaid Program Integrity unit. The role involves investigations, audits, and on-site visits to ensure policy compliance and identify overpayments. The position covers 1-15% travel, requires background screening, and offers the standard OPS benefits; it’s a full-time hourly role at $20.00/hour with nondiscretionary pay. #J-18808-Ljbffr My Florida Families
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$85k
...provide exceptional legal and compliance services to our internal... ...We are hiring a Compliance Analyst to be an integral member of the... ...monitoring processes Run the Fraud, Waste, and Abuse investigation... ...procedures, learn how Medicare and Medicaid guidelines impact our...Temporary workLocal areaRemote work$22 - $30 per hour
...accommodation or an alternative application process. Operations Fraud Analyst - Team Lead Camp Hill, PA, US 4 days ago Requisition ID: 245... ...to confirm accuracy, documentation quality, procedural compliance, and appropriate escalation. Coach and cross-train analysts...Hourly payWork at officeLocal areaRemote work- EY is seeking an Analyst in its Service Delivery Center to support EY Comply, Fund Administration, and Accounting for US Financial Services... .... The role emphasizes data-driven fund reporting, regulatory compliance, and cross‑functional collaboration. You will work with...
$51k - $82k
...prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. We are looking to add a Medicaid Fraud Auditor to our SGS team of talented... ...and reviews of various Medicaid programs to ensure compliance with federal and state Medicaid program requirements...Contract workWork at officeRemote workShift work- Peraton is seeking a Medicaid Fraud Auditor for SafeGuard Services (SGS), a remote professional role. You will audit Medicaid programs, analyze data, and identify compliance issues, spending time across multiple assignments while documenting findings. Strong analytical...Remote job
- Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting processes....For contractorsWork at officeLocal areaWork from home
- ...Compliance Specialist SUS is seeking a Compliance Specialist within their QA department. This position is located at 7th Avenue... ...Essential Duties & Responsibilities: Audits/Reviews: Conduct Medicaid billing reviews to ensure documentation exists to support...Local areaFlexible hours
- ...Corporate Compliance has day-to-day operational responsibility for Chevron's worldwide compliance program. Corporate Compliance continuously... ...and strengthen the program as necessary. Compliance analysts will be responsible for deploying compliance processes, monitoring...Contract workLocal areaWorldwideRelocationVisa sponsorshipWork visa
- ...As we Create with Collaboration, Serve with Integrity, Grow with Excellence, and Advance with Innovation. As our Senior Trade Compliance Analyst, you will be part of the Global Trade and customs department within JBT Marel. In this role, you will report to the Director...Temporary workLocal areaRemote workWork from home
- ...About the role We are looking for a Compliance Analyst to support day-to-day compliance operations and work directly under the Legal function. This role is ideal for someone with a strong foundation in regulatory compliance, risk management, controls, and investigative...Remote workShift work
$23 - $34 per hour
...credentialing, payer enrollment, payroll backup, and regulatory compliance responsibilities. The Accounting Specialist plays a key role... ...provider enrollments, revalidations, and updates with Medicare, Medicaid, and commercial payers* Monitor application status and follow...Hourly payTemporary workWork at officeMonday to FridayFlexible hoursShift work$125k - $150k
...an independent internal audit function as a core part of its compliance and risk infrastructure. As the organization scales, the ability... ...function is strongly preferred. • Working knowledge of Medicaid and commercial payer billing requirements; ABA, behavioral health...$24 - $28 per hour
...Behavioral Health and ABA field, ensuring compliance with insurance payer requirements, state... ...for Board Certified Behavior Analysts (BCBAs), licensed ABA professionals, and... ...requirements and processes. Stay current on Medicaid guidelines, payer requirements, regulatory...Full timeWork at office- ...for conducting audits of billing, documentation, insurance claims, medical records, and regulatory compliance activities. This role ensures adherence to Medicare, Medicaid, commercial insurance, and accreditation requirements while identifying opportunities to improve...For contractorsWork at officeRemote work
- ...relationship and communication skills Experience auditing nursing homes, HUD, or manufacturing is a plus Familiarity with Medicare/Medicaid cost reports a strong plus Why Modus Modus partners with firms by deploying purpose-built AI and growth resources to make our...
$56k - $63k
...is seeking a Credentialing Specialist to join our Healthcare Compliance and Credentialing Practice Area. Under the supervision of the... ...with third-party payers and governmental programs (Medicare and Medicaid) as requested by the client in an accurate and timely manner Perform...Work at officeRemote work- ...following applicable state and federal requirements for Medicare and Medicaid. Leads, coordinates, and monitors the review and analysis of... ...Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS,...Flexible hours
$65k - $88.6k
...leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and... ...It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ...Weekly payFull timeTemporary workApprenticeshipWork at officeRemote work$71k - $107k
...purpose and a team that welcomes youbecause when you feel valued youre empowered to do your best work. Job Summary The Compliance Analyst supports the implementation and continuous improvement of health safety environmental and operational compliance programs...Full timeFor subcontractorWork at officeLocal area$33.45 - $40.47 per hour
Job Description Overview\n Intuit is seeking highly motivated individuals to join our dynamic team as dedicated year-round Business Tax Experts in one of our TurboTax Retail or Flagship locations across the United States. This unique opportunity combines tax expertise...Local area- As a Technology Senior Auditor (Associate) within the Infrastructure Platforms (IP) Technology Audit team, you will play a key role in executing Infrastructure Platform audits in a dynamic, fast-paced environment. You will be responsible for leading audit testing, partnering...Visa sponsorship
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...and payment runs Serve as the primary control point for ACH, wire, and check disbursements Protect the business from payment fraud through strong vendor onboarding and master data governance Design, document, and continuously improve finance processes across procure...Permanent employmentFull time- ...management, internal controls, and audit functions for Rochdale Village. This position ensures the accuracy of financial records, compliance with applicable regulations, and provides strategic financial guidance to management and the Board. The Controller supervises...Full timeLocal area
$80k - $130k
...multiple entities and locations Manage intercompany allocations and shared-cost accounting Oversee NJ and NY payroll and tax compliance in coordination with our outside CPA firm Build reliable production, collections, and adjustment reporting from our practice-...Full time- ...power portfolios, with nearly $2 billion in annual revenue. Position Overview: Reporting to the Director, Debt Compliance & Equity, the Debt Compliance Analyst plays a critical role within the Debt Compliance function serving as a primary resource for monitoring and...Full timeShift work
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