Senior Auditor: Medicaid Fraud Analytics (Remote)
Delaware LLC
- Remote job
Delaware Department of Justice seeks a Senior Auditor to support the Medicaid Fraud Control Unit in the Fraud & Consumer Protection Division. The role focuses on auditing and data analysis for civil and criminal health care fraud investigations, including multijurisdictional qui tam matters, with teamwork and ability to work independently. The Senior Auditor will compile evidence, summarize restitution calculations, and contribute to policy recommendations while coordinating with the state #J-18808-Ljbffr Delaware LLC
- ..., safeguard families, fight fraud, and protect consumers in the... ...individual to join the Medicaid Fraud Control Unit (MFCU) in... ...New Castle County office as a Senior Auditor. We seek an individual with... ...of experience in designing analytical studies, which includes determining...Remote workSeniorFraudWork experience placementWork at office3 days per week
- SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medicaid Fraud Auditor to join our team. The role audits Medicaid programs for compliance and over-payment recovery, applying analytical skills and interviews to gather information. Candidates must reside within the...Remote jobFraud
$51k - $82k
...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 uses business knowledge, analytical skills, and experience in identifying... ...business acumen. This is a remote position, candidates must...Remote workFraudContract workWork at officeShift work$55k - $75k
...prevention and detection of fraud, waste and abuse in government... ...are achieved through data analytics, technology solutions, audit... ...company feel! In this role, the Medicaid Auditor will be responsible for... ...background screening checks. For remote work, required to have wired...Remote jobFraudFull timeContract workTemporary workFor contractorsWork at officeLocal areaFlexible hours$120k - $150k
...Join AIR as a Senior Researcher with our Healthcare... ...role combines deep Medicaid policy and financing expertise... ...research, applied analytics, project leadership,... ...the position may work remotely within the United... ...program integrity and fraud oversight. Demonstrated...Remote workSeniorFraudFull timeContract workFixed term contractH1bWork at officeLocal area- ...days) to receive an alert: Senior Auditor Location: Houston, TX, US,... ...financial, compliance, ESG, fraud, and advisory engagements, and... .... Experience with data analytics tools (e.g., Power BI, Celonis... ...talent. ~ The Company’s Global Remote Work Policy allows eligible employees...Remote workSeniorFraudWork at officeLocal area2 days per week
- Integrity Management Services, Inc. is hiring a Medicaid Auditor to perform audits of Medicaid Managed Care Plans and providers, identify fraud and improper payments, and issue findings... ..., and strong data analysis skills. Remote work is available within the U.S., with...Remote jobFraud
- Great American Insurance Group is seeking a Senior Premium Auditor to conduct audits of policyholder financial and operational... ...internal teams to resolve discrepancies. This fully remote role requires strong analytical, communication, and customer service skills, with the...Remote jobSenior
- Great American Insurance Group is seeking a Senior Premium Auditor for a fully remote role serving clients across the continental United States. You will... ...resolve discrepancies. The position requires strong analytical and communication skills, detailed record-keeping, and...Remote jobSenior
- Great American Insurance Group is seeking a Senior Premium Auditor for a fully remote role across the continental United States. You will conduct audits... ...of premium audit or finance experience, with strong analytical and communication skills #J-18808-Ljbffr Great American...Remote jobSenior
- ...seeking a highly motivated Senior Internal Auditor to join our Internal Audit... ...and testing. Use data analytics, automation, and approved... ...and projects. Support fraud investigations, cost-improvement... ..., or to be performed Remotely, click here or copy/paste the...Remote workSeniorFraudFull timeWork at officeLocal areaFlexible hours
- Integrity Management Services, Inc. in the United States seeks a Medicaid Auditor to perform and report on Medicaid Managed Care Plans and providers, identifying potential fraud, waste, and abuse. Audits can be programmatic or financial, including desk reviews and onsite...Remote jobFraud
- Peraton is seeking a Medicaid Auditor/Investigator to join SafeGuard Services (SGS), a Peraton subsidiary... ...audits and data analyses to detect fraud, waste, and abuse in Medicaid programs.... ...and state requirements. The position is remote, requiring residency within the...Remote jobFraud
$88k - $113k
...seeking a highly motivated Senior Internal Auditor to join Driscoll’s global Internal... ..., and leverage data analytics to make it more efficient.Responsibilities... ...or Guadalajara, Mexico** Remote work is not authorized for... ...consciousness and anti-fraud awareness; (b) assessing...Remote workSeniorFraudFull time$96.64k - $142k
...experiences. Our dedication to remote-first work, and strong... ...the team as Twilio’s next Senior Internal Auditor. At Twilio, we build the... ...Experience using data analytics tools (e.g., SQL, Tableau,... ...Stay alert to recruitment fraud We care about your safety...Remote workSeniorFraudFull timeLocal areaWorldwide- ...Primary Skills: Data Analytics advanced), SQL(advanced), Python (advanced), AI (advanced), ETL/ELT(advanced) Contract Type: W2 Duration... ...regulated environments such as BSA/AML, transaction monitoring, or fraud is preferred. ABOUT AKRAYA Akraya is an award-winning IT...Remote workSeniorFraudContract work
- ...Consulting at UMass Chan Medical School seeks an Auditor to identify, investigate, and prevent Medicaid fraud, waste and abuse. You will conduct desk and onsite... ...for onsite audits 1-2 times per month; most work is remote with periodic site visits. #J-18808-Ljbffr...Remote jobFraud
- CoventBridge Integrity Systems is seeking a Medicaid Medical Review RN (Medical Reviewer III) for remote work with potential on-site audits in Grove City, OH. The... ...on clinical reviews of medical records during fraud investigations and applies Medicare/Medicaid guidelines...Remote jobFraud
$140k - $200k
...DescriptionThe Internal ABL Field Auditor is responsible for... ...performs on‑site and remote collateral audits,... ...Portfolio Management, and senior leadership.Core... ...process gaps, and potential fraud indicators.Evaluate borrower... ...reviewStrong Excel, analytical, and investigative...Remote workSeniorFraudFull timeTemporary workWork experience placementFlexible hours- ...Office of Inspector General, seeks a Senior Managed Care Oversight Analyst to investigate and oversee Medicaid managed care entities. The role focuses on compliance, fraud, waste and abuse, and the... ...Michigan with potential hybrid/remote options, the position requires a...Remote workSeniorFraudContract workWork at office
- Cotiviti seeks a Senior Investigator to detect and deter fraud, waste, and abuse in healthcare using data analytics and advanced Excel skills. This remote, home-based role sits on the post-pay Fraud Waste & Abuse team with travel up to 15% and opportunities to support legal...Remote jobSeniorFraudWork from home
$100k - $121k
...vision, dental, life, and disability insurance. To apply to this remote role please send your resume to ****@*****.***.... ...ESSENTIAL FUNCTIONS & RESPONSIBILITIES:· Lead the Internal Audit data analytics function, serving as the primary point of expertise for data...Remote workSenior- ...POSITION SUMMARY: The Sr Compliance Auditor is responsible for auditing... ...to safeguard against fraud, waste, and abuse. ~... ...well as managed care, Medicare, Medicaid, and workers’ compensation billing... ...office equipment (in office or remote) ~ Communicate...Remote workSeniorFraudFull timeWork at officeLocal area
- TSABAA is seeking an Internal Auditor for Federal Programs to perform advanced internal auditing... ...Services, and HR to strengthen anti-fraud measures. You will report to the Director... ...and may be deployed statewide in TX with remote management by the Austin HQ. #J-18808-...Remote jobSeniorFraudSummer work
- ...audits, including: NY Office of Medicaid Inspector General (OMIG)... ...Inspector General (OIG) Medicaid Fraud Control Unit (MFCU) NY... ...recommendations, which are presented to senior management of applicable... ...skills. Highly organized and analytical individual needs to be able...SeniorFraudFor contractorsWork at officeLocal areaShift work
$88k - $115k
Senior Manager, Retail Analytics (Remote: United States or Canada) | CircanaRecruitment Fraud AlertJoin Talent NetworkView All JobsRemote## Senior Manager, Retail Analytics (Remote: United States or Canada)United StatesApply NowUse AI to find out how well you match with...Remote jobSeniorFraudLocal areaFlexible hoursShift work$145k - $173k
...Senior Manager of Data Analytics Let's go North, together. Join our mission to build the largest suite of credit card processing and merchant... ...customer acquisition, onboarding, customer service, and fraud detection. This role is responsible for surfacing the team...Remote workSeniorFraudTemporary workWork experience placementFlexible hours- ...Senior Auditor CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic... ...accounting, litigation consulting, and/or health care fraud analysis required. The resume must demonstrate experience that...Remote jobSeniorFraud
$112.84k - $143.75k
...Qualifications: Skills: Big Data, Data Analytics, Statistical Analysis... ...support the Centers for Medicare & Medicaid Services (CMS) mission to detect and prevent fraud, waste, or abuse across the... ...than 10% Telecommuting Options: Remote Work Location: Any Location /...Remote workSeniorFraudTemporary workImmediate startWorldwideFlexible hours$90.68k - $113.29k
...Waterfront CommissionTitle: Investigative Auditor/Senior Investigative Auditor - VID 228418... ...methods to detect complex financial crimes, fraud, money laundering, embezzlement, theft,... ...with digital forensic tools, data analytics and financial investigation software.Educational...Remote workSeniorFraudPermanent employmentFull timeInternshipWork at officeLocal area
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