SIU Investigative Analyst III - Health Care Fraud Data
L.A. Care Health Plan
L.A. Care Health Plan in Los Angeles, CA is seeking an SIU Investigative Analyst III to oversee intake, triage and regulatory reporting of investigative leads, including hotline complaints and referrals from regulators. This role ensures timely submission of CMS and DHCS reports and serves as a subject matter expert for HCFS data systems. The ideal candidate has at least 4 years in healthcare fraud investigation, strong leadership, and proficiency with HCFS/HPMS, Excel and related tools. #J-18808-Ljbffr L.A. Care Health Plan
$67.19k
...Department: Special Investigations Unit Location: Los Angeles... ...in 1997, L.A. Care Health Plan is an independent... ...Investigation Unit (SIU) Investigative Analyst III is responsible for overseeing... ...into the Health Care Fraud Shield (HCFS) case management data system and the...DataFraudFull time- ...Special Unit Investigations (Siu) Field InvestigatorEthos Risk Services is a leading insurance claims investigation... ...company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better...DataFraudCasual workLocal areaNight shift
$30 - $38 per hour
...SIU Investigator Job Locations US-CA-Los Angeles | US-CA-Bellflower Requisition... ...Insurance policies and the components of fraud to determine If claims warrant reporting... ...clients and case managers, by means of data collection, interviews, research and collaboration...DataFraudWork at officeLocal area$88.85k
...receive an alert: Business Analyst III Job Category: Accounting/Finance... ...Established in 1997, L.A. Care Health Plan is an independent... ...improvement via the methodical investigation, analysis, review and documentation... ...test performance. Perform data analysis to support...DataFull timeWork at officeRemote workShift workWeekend work$85k - $110k
...goal of enabling human life on Mars. INVESTIGATIONS ANALYST SpaceX is seeking a dynamic and... ...This role will triage anomalous event data and analyze insider threat program datasets... ...permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C. § 1157, or (iv)...DataPermanent employmentTemporary workWeekend work$88.85k
...days) to receive an alert: Medical Cost Drivers Analytics Data Analyst III Job Category: Provider Relations Department: Enterprise Analytics... ...,509.00(Mid.) -$142,166.00(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of...DataFull time$95.6k - $188.4k
...organization. Join our team and use advanced data, AI, and emerging technologies with... ...DoAs a Senior Consultant, Forensics and Investigations, you will support the client by researching... ...information to identify potential fraud, waste, and abuse vulnerabilitiesTranslate...DataFraudLocal area- CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The role requires initiative... ...review financial records and regulatory documents, analyze data for fraud indicators, and develop referrals for HCF...DataFraud
$120k - $150k
...volumes provide differentiated, data-driven perspectives that help... ...ScopeThe Oracle Functional Analyst will serve as the primary... ...other applicable bank formats.Investigate and resolve unmatched transactions... ...-account governance, payment fraud prevention, and segregation...DataFraudFull time$74k - $86k
...Description Senior Insider Risk Analyst Our client is looking for... ...Security team where you'll investigate insider threats, analyze... ...organization to protect critical data and systems. If you enjoy investigations... ...access, data loss, fraud, or other insider risk...DataFraudLocal areaRemote workVisa sponsorship- ...for an experienced Sr. Business Analyst to support enterprise analytics and data integration initiatives in California... .... • Monitor data quality, investigate inconsistencies, and assist in resolving... ...in environments involving fraud analytics, anti-fraud initiatives...DataFraudLong term contract
$120k - $135k
...Perkins Eastman is monitoring an increased frequency of recruitment frauds. Unscrupulous individuals are contacting job seekers and... ...collect personal banking, passport, visa, or other sensitive personal data as part of the recruitment process. You should never send money...DataFraudContract workWork at officeLocal areaImmediate startWorldwideWork visa- ...Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville... .... Responsibilities will Include: Review, sort, and analyze data using computer software programs such as Microsoft Excel...DataFraudFull timeWork experience placementWork at officeLocal area
$71.96k - $113.19k
...Responsibilities The selectee will serve as a Investigative Analyst in the Office of Field... ...cases. Reviewing and evaluating data, material, and documents to... ...attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan;...DataWork at officeFlexible hours$87.03k - $138.97k
REPORTING ANALYST III- US Mortgage Banking WHAT IS THE OPPORTUNITY?Partners with reporting manager... ...metrics, organizing and presenting data to management and managing multiple projects... ..., sick and volunteer timeSpecialized health and family planning benefits including fertility...DataWork at officeRemote work$106.08k - $141.44k
...Data Science Analyst III Locations: Los Angeles, California Job Category: Information Technology... ...'s shaping the future of pediatric care. Children's Hospital Los Angeles is... ...support the Chuck Lorre Pediatric Health Education Institute (CLPHEI), a first-...DataFull timeWork experience placementWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workDay shift$109.62k - $135.53k
...Incumbent in this classification functions as lead person over Fraud Investigators and may supervise clerical or administrative support.... ...investigators and support personnel. Effectively analyze and interpret data. Recognize relevant and material information. Conduct a...DataFraudContract workFor contractors$74.5k - $197.5k
...study(ies) and reporting study data as required by the study... ...File (TMF) and verify that the Investigator's Site File (ISF) is maintained... ...in scientific discipline or health care preferred. • Requires at least... ...policy for candidate fraud. All information and credentials...DataFraudFull timePart timeLocal areaImmediate startWorldwide$90k - $150k
...Overview In addition to testing responsibilities, this VP, ITU Data Analytics & Reporting position will also lead the design and... ...Banking, Bank Support and Corporate functions, BSA/AML/OFAC, Payment Fraud Cross-border Banking, and Digital Banking is a big plus....DataFraudFull timeWork experience placement$250k - $325k
...being by providing free annual health screenings and coaching, bank... ...high-profile litigation and investigations. We assist companies, law... ...expert testimony as well as fraud investigations and complianceWork... ...and accounting knowledge and data analytical skills to assess complex...DataFraudFull timeImmediate start- ...improve and automate manual processes using data, machine learning, analytics. · Leverage... ...our Small Business money movement Fraud, Financial and Compliance Risk in depth and... ...provide the standardized logic for Risk analysts to build upon. · Use tools and programs such...DataFraudTemporary workWork experience placementLocal area
$85.28k - $159.92k
...skilled Senior Research Analyst with Intellectual Property... ...Generative AI, data analytics, and emerging... ...Drug Coverage (including a Health Savings Account feature)Back-up Child/Elder Care and access to a caregiving... ...Protection/Restoration and Fraud InsuranceParental Leave...DataFraudFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayWeekend workAfternoon shift- ...Mid-LevelCGS is seeking a Financial Investigator to join our team providing legal... ...timelines, scientific, or technical data, for the purpose of advancing... ...limited to money laundering, wire fraud, mail fraud, bank fraud, health care fraud, procurement fraud, and fraud...DataFraudFull timeInterim roleLocal area
- ...aptitudes but also who care deeply about EVERSANA,... ...retinal disease, who engages health care professionals and... ...to support sites and investigators participating in the... ...versed in the clinical data such that the full range... ...EVERSANA. Recruitment fraud is a sophisticated scam...DataFraudLocal areaNight shift
$260k - $365k
...Department: Investigations, Compliance and White Collar Defense Manatt... ...join our nationally recognized Health Care practice. Our Health Care... ...law, civil rights, fraud and abuse claims, qui tam actions... ...information on how Manatt uses your data, please click here for our...DataFraudLocal area- ...is seeking an experienced ACE Investigator with extensive knowledge and... ...investigative techniques and fraud detection to provide assistance... ..., correspondence, computer data, and other records pertaining... ...and electronic data, such as health care claims data, financial transaction...DataFraudFull timeWork at officeLocal areaFlexible hours
$1,000 per month
...Description Job Description Junior Analyst Compliance InternAbout Allen... ...logistics risk management, fraud prevention, and carrier... ...-row seat to the technology, investigative checks, and financial... ...Supply Chain Management, Finance, Data Analytics, Communications, or...DataFraudHourly payInternshipWork at office- ...maintain robust information security policies to protect customer data. Applicants for the Chief Risk Officer position at the company... ...will also be involved in operational risk management, including fraud prevention, business continuity planning, and crisis management,...DataFraud
- ...is a leading insurance claims investigation and medical management company,... ...specializing in surveillance and fraud detection. At the forefront of, we provide accurate data and actionable insights that... ...mileage reimbursement program. Health Insurance/Retirement : Medical,...DataFraudFull timeLocal areaNight shiftWeekend work
- ABOUT US Ethos 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 translate into better decision-making for...DataFraudLocal areaNight shiftWeekend work
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