Medicaid Fraud Investigator — Uncover Health Care Fraud
State of Georgia
The State of Georgia invites applications for the Investigator - Medicaid Fraud position within the Department of Law. The role focuses on health care fraud investigations, developing data analyses, and supporting prosecutors with evidence and testimony. Ideal candidates have at least a year of fraud investigation experience, a relevant bachelor’s degree, and preference for POST certification or a Certified Fraud Examiner credential. This is a day shift in the Georgia state government. #J-18808-Ljbffr State of Georgia
- ...Job Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support... ...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
- ...accommodation is granted as required by law. PLEASE NOTE: This position is not eligible for current or future VISA sponsorship. Clinical Fraud Investigator II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. How...SuggestedWork at office2 days per week1 day per week
- ...membersComprehensive healthcare: Medical, dental, vision, virtual care, and mental health supportFinancial perks: Special team member discounts on... ...you reach your full potentialResponsibilitiesThe Fraud Investigator II role is focused on independently managing a broad...SuggestedFull timeWork experience placementWork at officeLocal areaRemote workWork from home
$60 per hour
...every stage of your career!Job Title:Investigator - Medicaid FraudAgency:Department of LawJob Requisition... ...of LawInvestigator - Medicaid Fraud DivisionThe mission of the Department... ...Responsibilities:*Investigators conduct health care fraud investigations. Assists criminal...SuggestedWork at officeLocal area- ...Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part... ...investigators who are driven, professional, and dedicated to uncovering facts with accuracy and integrity. Demonstrate at least 1...SuggestedPart timeWork at officeRemote workFlexible hoursNight shift
- ...risk. Join us as a **SIU Claims Investigator** to play your part in that... ...expertise to ensure that the fraud risk to AIG is minimized. As... ...alike.**Enjoy benefits that take care of what matters**At AIG, our... ...benefits focused on your health, wellbeing and financial security...Full timeWork experience placementLocal area
- American International Group, Inc. (AIG) is seeking a SIU Claims Investigator in Atlanta, GA to lead high-complexity fraud investigations across all lines of business, coordinate field resources, and present evidence in court when required. The role emphasizes independent...Local area
- ...services organization based in Atlanta is seeking a Financial Crimes Investigator I. This role involves conducting internal and external investigations into suspicious activities and potential fraud. The ideal candidate will have a Bachelor's degree and 3-4 years of related...
- ...us on LinkedIn, YouTube, Twitter, Facebook, or Instagram.About This OpportunityThe Investigator II reviews exception reports, account activity, and other indicators of potential fraud to identify, investigate, and help prevent internal and external fraud. This role conducts...Work experience placementLocal area
- Truist is seeking a Fraud Investigations Specialist to perform research and loss mitigation across multiple intake channels. You will decision fraud cases and alerts by analyzing account activity and ensuring compliance with policies and regulations. Responsibilities include...
- Grow Financial Federal Credit Union is seeking a Fraud Investigator II to independently manage a broad range of fraud cases and contribute to prevention efforts. You will collaborate with technical partners to interpret system outputs and patterns. This role emphasizes...Remote jobFlexible hours
- AIG is seeking an SIU Claims Investigator to handle high complexity fraud investigations and support claims adjusters across all lines of business. You will gather evidence, coordinate fieldwork and document findings to minimize fraud risk for the company. The role requires...Local area
- Sinch AB is seeking a Fraud Analyst to detect, monitor and mitigate fraudulent activity on the Sinch Voice network. You will respond... ...threats, and document case details. Responsibilities include investigating diverse fraud scenarios, creating case activity, and...Remote job
- ...Analyst to join the team in Atlanta, GA, and other approved locations. You will monitor, detect, and investigate financial crime activity, design controls with the Enterprise Fraud Manager, and assist in implementing procedures to prevent losses. The role requires at least 2...
- Truist is seeking a Fraud Analyst to perform research and decisioning on fraud-related cases across intake channels. You will analyze... ...follow applicable policies and procedures. The role involves investigating transactions, communicating with partners, and staying current...Day shift
$30 - $31.77 per hour
Dexian is seeking a Fraud Risk Analyst for a 12-month contract in Atlanta, GA. The role is hybrid and paid hourly, with a pay range... ...financial risk or fraud. Responsibilities include deep-dive investigations of merchant accounts, identifying fraud patterns, maintaining...Hourly payContract work$48.5 - $60 per hour
D.O.T. Physicals Atlanta is actively seeking a Licensed NCRME to perform DOT exams in an in-person clinic setting in Atlanta, GA. Flexible part-time or full-time options are available with shifts from 9am to 5pm, Monday through Friday, with some weekends as needed. Qualified...Hourly payFull timePart timeMonday to FridayFlexible hoursShift workWeekend work$104.9k - $174.7k
...that assist them in evaluating and predicting risk and enhancing fraud detection. We use the power of data and advanced analytics to... ...identity solutions. This role blends data analytics, fraud investigation, technical consulting, and client engagement.The ideal candidate...Full timeLocal areaWork from home- State of Georgia's Department of Law seeks an Assistant Attorney General for Medicaid Fraud - Civil in Atlanta. The role handles investigations and civil litigation under Medicaid False Claims Act, with statewide jurisdiction and potential federal matters. The attorney...
- ...with one of Atlanta's fastest-growing companies and is seeking a Fraud Analyst to join their team. START DATE SEPT 8th! Contract... ...service level agreements to reduce potential revenue losses Investigate fraud claims and make decisions regarding their validity based...Full timeContract workWork at officeImmediate start
$26.92 - $33.65 per hour
...DESCRIPTION As part of the Sinch Voice Fraud Operations team, you will be... ...detection systems and tools Investigate, analyze, and research a... ...telehealth for all participants. CARE FOR YOURSELF : Take advantage... ...Program. Your mental health is as important as your physical...Remote workFlexible hours$30 - $31 per hour
...Immediate need for a talented Fraud Risk Analyst Payments & Account Takeover (ATO) . This is a 06months contract opportunity with... ...Benefits vary by vendor and assignment). Key Responsibilities: Investigate Account Takeover (ATO) cases involving suspicious account...Contract workLocal areaImmediate start$260k - $280k
..., within the Division of Forensic Sciences, Georgia Bureau of Investigation (GBI) is seeking qualified applicants to fill the Associate Medical... ...of benefit options to choose from, including vision, dental, health and life insurance. We also offer an employee retirement plan...Full timeWork experience placementWork at officeFlexible hoursWeekend work- ...Criminal Investigator (Special Agent)The Criminal Investigator (Special Agent), is responsible for planning, managing, conducting, and... ...in VA operations and/or processes during investigations and prepares reports outlining possible solutions to the issues uncovered....Local area
- Command Investigations, LLC is seeking an Insurance Claims Investigator with at least one year of field experience to join our team. You will conduct claims investigations across workers’ compensation, general liability, auto, and property cases, gathering evidence and...
- ...associated with the COVID-19 Public Health State of Emergency under the... ...the Center for Medicare and Medicaid Services (CMS) on March 30, 20... ...by the American Health Care Association in association with... ...known or suspected incidents of fraud to the Administrator. Ensure...Temporary workShift work
- Job Overview Claims Investigator - Experienced job at Command Investigations. Atlanta, GA. $350 SIGN ON BONUS Seeking experienced investigators with commercial or personal lines experience, multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience...Relocation package
- Command Investigations is looking for an experienced Claims Investigator to join our team in Atlanta, GA. The role involves conducting in-person investigations and writing detailed reports. Ideal candidates will possess strong investigative skills, integrity, and reliable...Immediate start
$138.9k - $191k
...Become a part of our caring community The Counsel provides a full range of legal... ...Advantage rules and regulations and related health care fraud and abuse laws, including the Anti-... ...organization Experience in Medicare, Medicaid, or similar regulatory work Strong legal...Full timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...not see a current opening that perfectly aligns with their location or specialty—but who would like to be considered for future Investigator, Sub-Investigator, or Physician leadership opportunities across our growing network of clinical research sites nationwide.Our physicians...Full timePart timeLocal area
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