Lead Special Investigator I — Medicaid Fraud (Hybrid)
California Department of Justice
The California Department of Justice, Division of Medi-Cal Fraud and Elder Abuse, is seeking a Supervising Special Investigator I (Non-Peace Officer) in Los Angeles County. This role supervises a team of Special Investigators performing criminal financial investigations and coordinates with Special Agents and Deputy Attorneys General. Travel across the state is required; completion of POST PC 832 Search and Seizure course may be required after hire. #J-18808-Ljbffr California Department of Justice
- Your Role The Special Investigations Unit (SIU) team s responsible for preventing, detecting, investigating, and resolving health care fraud, waste, and abuse. The Special Investigations Investigator... ...and negotiation without guidance Hybrid This role requires employees to be...Fraud2 days per week
- California Department of Justice, Division of Medi-Cal Fraud and Elder Abuse, seeks a Special Agent to investigate and prosecute fraud against the Medi-Cal program, patient abuse in Medicaid facilities, and diversion of pharmaceuticals. Under direction, you will conduct...FraudPermanent employmentFull timeDay shift
- ...Duties As the state's federally mandated Medicaid Fraud Control Unit (MFCU), the Division of... ...Abuse (DMFEA) works aggressively to investigate and prosecute fraudulent activities and... ...most vulnerable citizens.The Supervising Special Investigator (SSI) I provides direct...FraudFull timeWork at officeRemote work
- ...Investigator (Hybrid) California Department of Health Care Services (DHCS) seeks an Investigator to conduct full criminal and civil investigations into fraud and misconduct against the California Medical Assistance Program (Medi‑Cal) and related state programs. Investigators...FraudWork at officeRemote work
$70k - $116k
Investigates low to moderately complex insurance fraud activity involving multi-line claims, build and maintain meaningful... ...social network and assist special investigations leadership in promoting... ...warranted. Identifies evidentiary leads and utilizes effective and...FraudFull timeWork at officeLocal areaRelocation package- CHEP is seeking a Senior Asset Protection Investigator in the Los Angeles area. You will lead undercover operations, perform surveillance, and work with law enforcement... ...conduct internet security investigations and drive fraud prevention, with opportunities for growth in a global...Fraud
- ...Civil Service, and the special trust placed in public... ...Detective Classification: INVESTIGATOR $6,339.00 - $8,558.00 A... ...County Telework: Hybrid Job Type: Permanent, Full... ...entities. ENFORCEMENT BRANCH FRAUD DIVISION LOS ANGELES... ..., with a team, or as a lead criminal investigator...FraudPermanent employmentFull timeWork at officeRemote work
- ...incumbent serves as a Civil Fraud Investigator responsible for supporting investigations... ...as HHS‑OIG, CMS, FBI, state Medicaid Fraud Control Units, and CBP... ...have at least one year of specialized experience equivalent to the... ...examinations as the lead or sole investigator or...FraudFull timePart timeBank staffWork at officeLocal areaRemote workRelocation
- UnitedHealthcare is seeking a Senior Investigator Pharmacy to identify and prevent health care fraud, waste, and abuse. The role involves data-driven investigations, fieldwork, and collaboration with regulators. You will analyze claims, develop investigative strategies,...Fraud
- ...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...FraudLocal areaNight shiftWeekend work
$30 - $38 per hour
...SIU Investigator Job Locations US-CA-Los Angeles | US-CA-Bellflower Requisition... ...Allied Universal is hiring a Special Investigations Unit (SIU) Investigator.... ...Insurance policies and the components of fraud to determine If claims warrant reporting...FraudWork at officeLocal area$109.62k - $135.53k
...Fraud Investigator Lead Special Note: The posted salary is an estimate of the potential annual pay. Final offer will be dependent on qualifications and experience. Anticipated Hiring Pay Scale: Candidates can expect to be hired within the 8-step salary range of $10...FraudContract workFor contractors- ...Special Unit Investigations (Siu) Field InvestigatorEthos 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...FraudCasual workLocal areaNight shift
$25 - $40 per hour
...Hourly Origin is seeking an experienced SIU Investigator to join our growing team in Los Angeles,... ...with experience handling insurance fraud investigations, obtaining statements, and... ...Officer, Detective, Investigator, or Special Investigations Unit experience Background...FraudHourly payFlexible hours- ...determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of... ...efforts to deter and combat insurance fraud. The surveillance investigator position... ...will be followed up by on-the-job and specialized training as needed. Benefits: VRC...FraudBi-weekly payHourly payWork at office
$24.76 - $30.94 per hour
...WE ARE: Neiman Marcus is a leading luxury retailer that provides... ...external and internal theft and fraud. You will work on-site in... ...Conduct external and internal investigations, documenting all loss prevention... ...and would like to request special assistance or an accommodation...FraudFull timeSeasonal workRemote work- ...Position is located in the Health Quality Investigation Unit (HQIU) Cerritos Field Office. This... ...practice of medicine, insurance fraud, and allegations of practicing medicine... ...reflect the reduction in pay. Special Requirements The position(s) require(...FraudPermanent employmentFull timeWork at officeWeekend work
- ## Senior Asset Protection Investigator - Los Angeles, CAApply: Fully Remote... ...and flexibility through our Hybrid Work Model.# **Job Description**# Protect. Investigate. Lead. CHEP is on the hunt for a... ...necessary.* Monitor and implement fraud prevention measures, leading...FraudFull timeTemporary workLocal areaRemote workNight shift
$7.52k - $10.14k
...fairness, impartiality, and integrity. The Bureau of Investigation is the county's fourth largest law enforcement... ..., health care, real estate, and consumer fraud. You may also work directly with attorneys in specialized programs such as Justice System Integrity and Public...FraudFull timeSecond jobWork at officeLocal areaTrial period$70k - $80k
...global digital marketing agency, seeks a social-first creative specializing in entertainment content for a top streaming partner. You’ll... ...Content Director with a team of PMs, editors, and designers in a hybrid LA setting. The role emphasizes a strong POV on engaging...- A leading health insurance provider in Los Angeles seeks a Director of Compliance to lead the Special Investigations Unit. Responsibilities include overseeing investigations into fraud and abuse, ensuring compliance with regulations, and leading program initiatives. The...FraudFull time
- ...Continuous Improvement Lead Burbank, CA Type: Contract Category: Business Analysis... ...Recommended Jobs Description: Hybrid 4 days on site in Burbank, CA Our client... ...of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group:...FraudHourly payContract workLocal area
- ...The Investigations Expert is responsible for conducting investigations, handling service-quality reports, and supporting risk control activities... ...fields Experience in Investigations, Corporate Security, Fraud, Compliance, Internal Control, or related areas Experience in...Fraud
- ...communities and tribal governments, and work toward improving outcomes for all Californians. Under direction of the Supervising Special Investigator II (SSI II), the Supervising Special Investigator I (SSI I) is responsible for planning, organizing, and directing a variety...For contractorsWork at office
- ...Special Agent PositionJoining the United States Secret Service (USSS) as a Special Agent... ...nation through our dual mission of criminal investigations and protection. Special Agents play a... ...crimes, including counterfeiting, cyber fraud, and other threats to the financial...Fraud
- ...items or products they inquire about. Inform customers of grocery specials. Provide customers with fresh products that they have ordered.... ...or issues, and illegal activity, including: robbery, theft or fraud. Must be able to perform the essential functions of this...FraudHourly payPart timeSeasonal work
$20 - $30 per hour
...further. Overview We are currently seeking a Fraud Analyst. Schedule flexibility and... ...that may require unique treatment and a specialized approach Supports business partners... ...assistance to other Fraud Analysts, Fraud Investigators, and Legal Process Specialists to resolve...FraudFlexible hours$51.44k - $66.13k
...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced Department... ...skills in investigative techniques and fraud detection to provide assistance for a... ...bank records to develop investigative leads and to determine their potential relevance...FraudFull timeWork at officeLocal areaFlexible hours$8.59k - $12.83k
...Duties As the state’s federally mandated Medicaid Fraud Control Unit (MFCU), the Division of... ...Elder Abuse (DMFEA) works aggressively to investigate and prosecute fraudulent activities and... ...citizens. Under the direction of a Special Agent Supervisor, the Special Agent will...FraudPermanent employmentFull timeTemporary workWork at officeRemote workMonday to FridayFlexible hoursShift work- CGS is seeking an experienced Affirmative Civil Enforcement (ACE) Investigator to support a federal initiative. The role focuses on fraud investigations across healthcare, contracting, and grants, using advanced data analysis and evidence gathering. The ideal candidate...Fraud
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