Medicaid Fraud Investigator: Uncover Health Care Abuse
$50 per hourGeorgia Department of Law
The Georgia Department of Law is seeking an Investigator for the Medicaid Fraud Division to conduct health care fraud investigations. The selected candidate will work closely with various criminal justice personnel and participate in the planning and execution of investigations. Qualified candidates are expected to have a Bachelor's degree in Criminal Justice or related fields, with strong analytical skills and relevant experience. The starting salary is in the $50's, commensurate with experience. #J-18808-Ljbffr Georgia Department of Law
- ...Description Job Description Healthcare Fraud Investigator Employment Type: Full-Time, Mid-... ...data for evidence of fraud, waste and abuse. - Review and evaluate referrals to determine... ...HCF matters (E.g., Medicare data, Medicaid data, outlier data). - Communication...SuggestedFull timeWork experience placementWork at officeLocal area
$60 per hour
The Georgia Department of Law is seeking an Investigator for the Medicaid Fraud Division. The ideal candidate will conduct health care fraud investigations and assist in prosecutions, requiring active Georgia POST Certification and law enforcement background. This position...Suggested$50 per hour
...this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud investigations. Assist criminal... ...‑site health care fraud and patient abuse investigations. Develop necessary...SuggestedWork at officeLocal area- A government services provider is seeking a Healthcare Fraud Investigator to provide legal support for a major government project. The role involves reviewing and analyzing data, developing fraud case referrals, and advising attorneys on merits of HCF referrals. Candidates...SuggestedWork at office
- Clinical Fraud Investigator II Position Title: Clinical Fraud Investigator II Location & Work Model... ...II identifies potential fraud and abuse risks, performs comprehensive analysis... ...Diversity, and Inclusion Statement Elevance Health is an Equal Employment Opportunity...SuggestedWork at officeLocal areaFlexible hours2 days per week1 day per week
$85k - $105k
CGS Federal (Contact Government Services) is hiring a Healthcare Fraud Investigator in Atlanta, GA. This full-time mid-level role involves providing vital legal support for a significant government project, including data analysis and advisory services to attorneys. Ideal...Full timeWork at office$71.1k - $97.8k
Become a part of our caring community. The Senior Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. Work assigned to the Senior Fraud and... ...'s degree At least 3 years of health insurance fraud investigations and...Bi-weekly payTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday- Elevance Health is seeking a dedicated Investigator II to join their team in Atlanta, Georgia. This hybrid role requires working in the office 1-2 days a... ...Investigator II will focus on cases related to healthcare fraud, leading investigations and establishing relationships...Work at office2 days per week1 day per week
$40k - $60k
...with 401k • Career advancement opportunities • Discounted health club benefits in many areas around the U.S. • Paid Parental Leave... ...is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent...Hourly payWork from homeWorldwideHome office$260k - $280k
...contingent upon the successful completion of a GBI background investigation including criminal, credit and driver's history checks, polygraph... ...staffed at headquarters. This office also operates the Child Abuse Investigative Support Center, which provides consultative...Full timeWork experience placementWork at officeFlexible hoursWeekend work- ...Join Resurgens Orthopaedics as an FCE / Physical Therapist! At Resurgens, we’re committed to delivering exceptional musculoskeletal care through collaboration, innovation, and compassion. In this role, you’ll combine traditional physical therapy expertise with...Relocation package
$48.5 - $60 per hour
...are acceptable (e.g. Mondays and Wednesdays or Mondays and Fridays). 9 a.m. - 5 p.m. Responsibilities Provide high quality patient care performing DOT exams. Manage all patient care while on shift. Ensure all charts are filled out and medical records are completed...Hourly payFull timePart timeMonday to FridayShift workWeekend workDay shiftWeekday work- Dane Street is hiring licensed Internal Medicine Physicians in Atlanta, Georgia, to conduct Travel Medical Disability Examinations for Veterans. This role offers a flexible schedule with no minimums and allows you to help Veterans receive their service-connected benefits...Extra incomeFlexible hours
- ...determine the cause and manner of death, including determining jurisdiction, performing autopsies, and reviewing laboratory work and investigative reports. Essential Functions Leads and coordinates daily work activities of assigned crew or co-workers: confers with supervisor...Work at office
$48.5 - $60 per hour
...hours, both part-time and full-time, primarily weekdays from 9 a.m. to 5 p.m. Responsibilities include providing high-quality patient care, managing patient interactions, and ensuring timely record-keeping. Compensation is between $48.50 and $60.00 per hour, depending on...Hourly payFull timePart timeFlexible hoursWeekday work- ...Analyzes accounts and review activity for potential fraud, first party fraud, potential SAR referrals, and possible money... ...point regarding suspicious activity Performs complex investigations regarding suspected fraudulent activities Frequent interaction...Work at office
- ...Fraud Patterns Analyst Stripe is a financial infrastructure platform for businesses. Millions of companies - from the world's... ...operations teams to proactively identify and mitigate fraud exposure, investigating, conducting root cause analysis, and deploying remediations to...
$49.92k - $74.88k
...Join our team as we help shape the future. Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including:...Temporary workWork at officeRemote work3 days per week- Monograph in Atlanta is seeking a Payments Fraud Investigator to help protect our financial ecosystem by investigating high-risk accounts and identifying fraud. The ideal candidate will analyze data trends and lead projects to prevent fraud. A minimum of 3 years of experience...Remote work
- A national investigative services firm in Georgia is seeking a meticulous SIU Investigator to conduct comprehensive investigations into fraud and misconduct. The candidate will analyze data, collect statements, and compile detailed reports while supporting ethical practices...
- ...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...
$89k - $133.4k
...important work of your career. About The Team The mission of Fraud Operations is to act as guardians of the global financial ecosystem... ..., card testing, account takeover, and financial partner investigation requests. We strive to improve manual fraud decisioning and enhance...Work at officeRemote workWork from homeRelocation- The Elevance Health Companies, Inc. is seeking a Clinical Fraud Investigator II to identify potential fraud risks and perform comprehensive analysis of clinical and billing data. This role requires conducting investigations to mitigate loss and exposure. The ideal candidate...Work at office2 days per week1 day per week
- Stripe is seeking a Payments Fraud Investigator in Atlanta, Georgia. This role involves safeguarding the financial ecosystem by investigating high-risk accounts and identifying various forms of fraud. You will lead cross-functional projects and collaborate with stakeholders...Remote job
$29 - $31.77 per hour
Creative Solutions Services, LLC is seeking a Fraud Investigation Specialist for a hybrid role in Atlanta, GA. This 12-month contract position... ...a pay rate of $29-$31.77/hour along with benefits like health insurance, 401(k) plan, and paid sick leave. Interested candidates...Contract workImmediate start- ...Our client, a global fintech company, is seeking a Risk and Fraud Customer Support Analyst . Apply today for consideration... ...ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital...Work experience placementLocal area
- ...a public notice for Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S. Citizens. A job announcement... ...otherwise qualified applicants may have used illegal drugs or abused legal drugs or substances in their past. These circumstances...Permanent employmentFull timePart timeCasual workWork at officeLocal areaRelocationTrial period
- ...a public notice for Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S. Citizens. A job announcement... ...federal position. New federal employees are responsible for uncovered costs. Candidates should be committed to improving the...Permanent employmentLocal areaRelocationTrial periodWeekend work
$25.96 - $32.69 per hour
Analyst, Fraud Prevention Responsible for analyzing and monitoring daily risk reporting to identify fraudulent or suspicious activity across the FanDuel Group brands. Plays a key role in fraud prevention and response. Requires intermediate understanding of fraud risks within...Hourly payTemporary workLocal areaWorldwideFlexible hoursNight shiftWeekend workAfternoon shift$114.6k - $171.8k
...The Team The Risk Operations team is looking for an experienced fraud analyst to join an industry-leading global fraud operations... ...operations teams to proactively identify and mitigate fraud exposure Investigate, conduct root cause analysis, and deploy remediations to...Work at officeLocal areaRemote workWork from homeRelocation
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