Medicaid Fraud Investigator
State of North Carolina
State of North Carolina's Department of Justice seeks a Financial Investigator I (NS) to conduct complex criminal and civil investigations focusing on Medicaid fraud schemes, patient abuse, and misappropriation of funds. The role involves data analysis of Medicaid claims, reviewing financial records, and interviewing witnesses, with occasional travel and court testimony. The position requires a bachelor’s degree with accounting coursework and related investigative experience, plus potential #J-18808-Ljbffr State of North Carolina
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medicaid Fraud Investigator in Raleigh, NC vacancy
- ...The North Carolina Department of Justice seeks a Financial Investigator I to conduct criminal and civil investigations into Medicaid fraud, patient abuse, and related financial crimes. You will analyze claims data, review financial records, and interview witnesses to build...SuggestedNight shift
State of North Carolina
Raleigh, NC3 days ago - ...this position is responsible for conducting initial reviews of fraud alerts and notifications received from internal systems,... ...of potential fraud cases and escalates those requiring further investigation to the appropriate team. This role plays a critical part in early...SuggestedLive outWork at office
- ...Job Description Job Description Job Title: Card Fraud Analyst Position Location: Raleigh, NC. Hybrid position, must live locally. Job Summary: The Card Fraud Analyst leads advanced card fraud detection, prevention, and analysis activities. This role serves...SuggestedFor contractorsWork visa
Coastal Credit Union
Raleigh, NC6 days ago - ...Centene Corporation seeks an Investigator to conduct fraud, waste, and abuse investigations across healthcare programs. You will review referrals, claims data, and medical records, document findings, and support case resolution while ensuring regulatory and contractual...SuggestedRemote work
Centene Corporation
Raleigh, NC22 hours ago - ...Practical Adult Insights is seeking an Insurance Fraud Investigator in North Carolina to evaluate insurance claims and verify their authenticity. This position entails collecting information about claimants, conducting surveillance, and documenting findings clearly. The...Suggested
Practical Adult Insights
Raleigh, NC5 days ago - High Value Residential Insurance Inspector Signature Companies is looking for a Field Consultant to cover the Buncombe County and surrounding areas. The position is an independent contractor (1099) role that offers independence, flexibility, and daily challenge. As a ...For contractorsWork from homeHome office
$33.5 - $38.5 per hour
Are you a detail-oriented and independent professional ready to take on a challenging and rewarding role? Come Join ReSource Pro! Your role: ReSource Pro is seeking a Premium Insurance Field Auditor (1099/Contractor) to play a vital role in ensuring accurate insurance ...Contract workFor contractorsWork experience placementLocal areaImmediate startRemote work- Company : enGen Job Description : JOB SUMMARY For candidates located within a 50-mile radius of our Pittsburgh office, this position operates on a hybrid schedule, with mandatory in-office work on Tuesdays, Wednesdays, and Thursdays. Candidates residing outside...For contractorsWork at officeLocal areaRemote work
Highmark Health
Raleigh, NC2 days ago $78k - $163.8k
Job Title: Digital Forensic Examiner Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: TS/SCI Employee Type: Regular Percentage of Travel Required: Type of Travel: * * *The Opportunity CACI has an exciting job opportunity for...Full timeContract workWork experience placementImmediate startRelocationFlexible hoursCACI International
Raleigh, NC1 day ago$21.02 per hour
...Crime Scene Investigator Category: Full-Time Application Closing Date: October 1, 2026, 5:00 p.m. Status Open Posted September 17, 2026 11:30 AM Salary And Benefits $21.02 Per Hour Minimum Annual Step for Performance Pay Adjustments 12 Paid Holidays Per Year 12 Vacation...Hourly payFull timeWork at officeNight shiftWinter Haven Regional Airport
Raleigh, NC2 days ago$63.93k - $77.41k
...Criminal Justice System with trained and experienced forensic scientists who analyze evidence seized in the course of criminal investigations. The forensic services provided include laboratory analysis and expert witness testimony in the areas of controlled substances,...Night shiftState of North Carolina
Raleigh, NC1 day ago$63.93k - $77.41k
...Agency Dept of Justice Division State Crime Lab Investigation Job Classification Title Forensic Scientist III (S) Position Number 60010647 Grade NC18 About Us The North Carolina Department of Justice, led by the Attorney General of North Carolina, represents the state,...Night shiftNC, Inc.
Raleigh, NC2 days ago- ...exits, and high-risk areas of the store Be knowledgeable of company systems and procedures and monitor such in order to identify and investigate suspicious activity that may require action Respond to suspicious activity using non-confrontational and de-escalation techniques...Flexible hoursNight shift
Carlie C's IGA
Raleigh, NC2 days ago $46.99k - $112.2k
...at a time. Position Summary The Senior Investigator, Aetna Special Investigations Unit, will... ...of known or suspected acts of healthcare fraud and abuse. This position will routinely... ...payment of aberrant claims submitted to the Medicaid lines of business for payment Conduct...Hourly payFull timeTemporary workWork at officeLocal areaCVS Health
Raleigh, NC1 day ago- Job Description -Responsible for leading the implementation and administration of a GRC platform (e.g., Vanta), including configuring controls, evidence mapping, and integrations across systems such as AWS and identity platforms. -Focused on building automation into...
Insight Global
Raleigh, NC1 day ago $35.19 per hour
...Issues traffic and parking citations; apprehends, questions and arrests suspects; collects and preserves evidence; conducts investigations; responds to and assists in all medical emergencies; assists in conducting fire drills and evacuating buildings; provides security...Full timeWork at officeLocal areaShift workAUS Inc
Raleigh, NC1 day ago$35.19 per hour
...Issues traffic and parking citations; apprehends, questions and arrests suspects; collects and preserves evidence; conducts investigations; responds to and assists in all medical emergencies; assists in conducting fire drills and evacuating buildings; provides security...Full timeWork at officeLocal areaShift workAUS Inc
Raleigh, NC3 days ago- Job Description: Senior Information Security GRC Analyst Department: Information Security Job Title: Senior Information Security Governance, Risk, and Compliance (GRC) Analyst Reports To: Information Security GRC Manager / Head of Information Security Location: Remote, ...Contract workWork at officeRemote work
$170k - $230k
JLL empowers you to shape a brighter way. Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them...Full timeLocal areaRemote workShift work$75k - $100k
Follow your calling, Find your career Please apply by: 10/2/26 Salary Range: $75,000 - $100,000 This is an exempt (salaried) position. Pay rates are based on education, skill, experience level and internal equity. Internal equity considerations include an assessment of...For contractorsWork at officeLocal areaMecklenburg County
Raleigh, NC22 hours ago- ...subject control when individuals pose a risk to themselves or others, following North Carolina commitment procedures. Support investigations using WakeMed CCTV systems and operate departmental vehicles in compliance with state law and policy. Department...
WakeMed
Raleigh, NC3 days ago - ...of North Carolina State University through law enforcement and crime prevention. The selected candidate(s) will patrol campus and investigate complaints and violations of State laws and local ordinances. This person also develops and implements preventative patrol...Permanent employmentFull timePart timeWork at officeLocal areaFlexible hoursNight shiftRotating shiftDay shift
North Carolina State University
Raleigh, NC1 day ago - ...alarms, including suspicious persons, and takes appropriate enforcement or protective action - Conducts preliminary and follow-up investigations by interviewing victims, witnesses, suspects, and confidential informants; collects, preserves, and documents physical and...Work at officeNight shiftRotating shiftDay shift
Meredith College
Raleigh, NC3 days ago $56.2k - $101k
...Position Purpose Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities...Full timePart timeH1bWork at officeRemote workFlexible hoursCentene Corporation
Raleigh, NC4 days ago- ...The Ohio State University, located on its central campus in Columbus, seeks a Civil Rights Investigator to conduct investigations into student and employee complaints involving protected class discrimination and harassment, including sexual misconduct. You will act as...
The Ohio State University
Raleigh, NC11 hours ago $64.9k - $84.85k
...Job Title: Civil Rights Investigator Department: Legal Affairs | Civil Rights Compliance Office The Civil Rights Investigator investigates complaints filed by students and employees involving protected class discrimination and harassment, including sexual misconduct;...Work at officeLocal areaRemote workRelocationVisa sponsorshipWork visaShift workDay shiftThe Ohio State University
Raleigh, NC3 days ago- ...variety of services, including but not limited to, community policing, traffic and criminal law enforcement, emergency response, investigations, and special events. Responsibilities and Duties (*Essential Functions) To perform this job successfully, an individual...Local areaMonday to FridayFlexible hoursShift workAfternoon shift
Wake Technical Community College
Raleigh, NC1 day ago $25.69 per hour
...screening staff and makes determinations whether to detain or charge suspicious persons. Prepares non-transferrable item reports. Investigates traffic accidents, issues traffic citations, and directs traffic. Participates in emergency operation activities. Operates radar...Local areaRemote workRelocation packageShift workRaleigh-Durham International Airport (RDU)
Raleigh, NC1 day ago$200k - $400k
...—awards based on anonymous feedback from our employees collected by an independent organization. Unmatched support: Experienced investigators (retired police officers). Dedicated case managers, paralegals, and demand drafters. Collaborative and creative attorneys who foster...Work at officeRelocationRelocation packageMonday to FridayParnall Law
Raleigh, NC5 days ago$66.12k
...ordinances Patrols assigned areas Responds to calls for police service Conducts preliminary and follow-up criminal and traffic investigations Conducts interviews Prepares written reports and field notes of investigations and patrol activities Apprehends...Work at officeImmediate startGovernmentJobs.com
Raleigh, NC20 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Fraud Investigator. Be the first to apply!
