Medicaid Fraud Investigator: Health Care Compliance
Rhode Island Attorney General's Office
The Rhode Island Office of the Attorney General is seeking a highly motivated investigator to join the Medicaid Fraud Control and Patient Abuse Unit (MFCU) to investigate complex criminal and civil enforcement actions related to fraud in the Rhode Island Medicaid program and allegations of abuse and neglect of residents in long-term care facilities. The MFCU conducts investigations with Assistant Attorneys General, analysts, and forensic auditors, including reviewing claims data and records and #J-18808-Ljbffr Rhode Island Attorney General's Office
Vacancy posted 8 hours ago
Similar jobs that could be interesting for youBased on the Medicaid Fraud Investigator: Health Care Compliance in Providence, RI vacancy
- STATE OF RHODE ISLAND OFFICE OF THE ATTORNEY GENERAL is seeking a highly motivated investigator to join the Medicaid Fraud Control Unit (MFCU) to investigate complex criminal and civil enforcement actions related to Medicaid fraud and abuse in Rhode Island. The role requires...SuggestedWork at office
- ...seeking a highly motivated investigator to join the Medicaid Fraud Control and Patient Abuse... ...residents of long-term care facilities. About the Office... ...residents or patients in health care facilities by... ...investigating health care fraud and compliance and other white‑collar...SuggestedLive inWork at officeRemote work
$35.7 - $71.4 per hour
...SAFEs) are Registered Nurses and Advanced Practice Providers who complete additional education and training to provide comprehensive health care to survivors of sexual assault. SAFEs will be mission driven with a commitment to participating in SAFE on call and emergency...SuggestedDaily paidShift work$23 - $30 per hour
...Job Type Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part of a dynamic team. This is a great opportunity for individuals with prior claims investigation...SuggestedHourly payPart timeSecond jobWork at officeRemote workFlexible hoursNight shiftCommand Investigations
Providence, RI1 day ago- Quest Diagnostics seeks a Mobile Examiner to cover field exams and in-center appointments in Johnston, RI. You will collect specimens, perform basic vitals, and ensure accurate processing while maintaining safety and professional conduct. The role requires phlebotomy experience...SuggestedFlexible hours
Quest Diagnostics
Johnston, RI2 days ago - Brown University Health is seeking Sexual Assault Forensic Examiners (SAFEs)—RNs and Advanced Practice Providers—to perform comprehensive... ...will maintain chain of custody, document findings, coordinate care and referrals, and testify when necessary. Per diem, on-site at...Daily paid
- Drug Enforcement Administration (DEA) in Rhode Island is seeking qualified candidates for Diversion Investigator roles. The position involves enforcing the CSA and CDTA, conducting investigations, collecting evidence, interviewing witnesses, and preparing comprehensive...
- Allied Universal® is seeking a Surveillance Investigator to conduct discreet surveillance to assist with insurance claims. The ideal candidate must have a high school diploma or equivalent and previous investigative experience. Responsibilities include conducting investigations...
- ...Branch Manager in Rhode Island to lead a security branch, oversee operations, staff development, client relations, budgeting, and compliance. You will drive growth, ensure service quality, and manage resources to meet client expectations. The role requires strong...Local area
- Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...Work experience placementWork at officeLocal area
- ...and underwriting + Experienced in Credit and Risk Assessment + Issue Management and Resolution + A strong knowledge of Regulatory Compliance + Excellent skills in building and maintaining business relationships. **Desired Qualifications:** + Demonstrated experience in...Work at officeShift workDay shift
Bank of America
Providence, RI2 days ago - ...seeks a Sr. Specialist Manufacturing to lead major deviation investigations, applying scientific rigor and risk-based decisions. You will... ...Manufacturing, Engineering, and Quality to uphold regulatory compliance and drive continuous improvement. Your leadership will influence...
- ...experience in B2B sales, along with a relevant degree or substantial experience in sales. Benefits include competitive commission plans, health insurance, and a strong company culture that values teamwork and innovation. Join us to make a positive impact in the community!...
- ...school diploma or GED, U.S. citizenship, and passing the ASVAB. Benefits include TRICARE coverage, no-cost healthcare, dental and vision services, mental health resources, and opportunities for professional growth. #J-18808-Ljbffr U.S. Army New England Recruiting Battalion
- ...documents prior to the end of each shift with care to ensure accuracy and completeness.... ...to pass a national background criminal investigation (BCI) 5. Ability to pass a state-... ...Certification from the Rhode Island Department of Health Knowledges Skills and Capacities...Permanent employmentFull timePart timeWork at officeLocal areaShift workNight shift
Rhode Island College
Providence, RI1 day ago - ...high crime incidents, conduct criminal investigations, and prepare reports of all investigations... ...examination administered by University Health Services. • Must pass this Department... ...certain affirmative action programs in compliance with applicable law. About Us...Full timePart timeWork at officeImmediate startRemote workTrial periodNight shiftRotating shift
Brown University
Providence, RI3 days ago - ...give information to the public To supervise the parking of cars and patrol parking areas for safety and protection against theft To investigate and make detailed reports on traffic violations, accidents and criminal incidences; and to type and file reports as required. To...Full timeWork at officeLocal areaImmediate startShift work
National Police
Pawtucket, RI21 hours ago - ...Examiner in Johnston, Rhode Island. This role involves performing mobile exams, collecting and processing specimens, and ensuring compliance with protocols. Candidates need at least one year of phlebotomy experience and successful blood draws. The position demands...Flexible hours
- ...Summary The 1099-Contract Investigator is responsible for conducting federal background investigations on a contract basis in direct... ...of records, to produce reports of investigations (ROIs) in compliance with all laws, federal standards, and federal agency regulations...Contract workTemporary workFor contractors
ADC
Providence, RI21 hours ago - Description Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect... ...insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients...Flexible hours
- ...Investigator 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...Local areaNight shiftWeekend work
Ethos Risk Services
Providence, RI2 days ago - ...Becker & Co Inc is looking for skilled and experienced Field Investigators in Rhode Island to join our team on an as-needed basis. This role... ...investigators while handling various insurance claims and fraud investigations, emphasizing high-quality results. The ideal candidate...Flexible hours
$76.46k - $86.47k
...Sworn) Salary $76,460.00 - $86,474.00 Job Profile JC-00386900 - Investigator (Non-Union Executive Branch Agency Employees) Scheduled Work... ..., email, and telephone concerning financial disclosure compliance and the application of the Code of Ethics to specific situations...Work at officeMonday to FridayRI Council 94
Providence, RI3 days ago- J T Becker & Co Inc is looking for skilled Field Investigators to join our team in the United States, Rhode Island. This role offers flexibility... ...claims, including workers' compensation and suspected fraud. The ideal candidate must possess a valid driver's license, current...Flexible hours
- Ethos Risk Services is seeking an Experienced Field Investigator to conduct surveillance and investigate potential fraudulent insurance claims. This role involves stationary and mobile surveillance, obtaining video and photographic evidence, and preparing detailed reports...Remote work
$127.2k - $246.9k
...robust suite of personal well-being benefits to support your mental health. Depending on job classification, standard work hours, and... ...The attached link contains further information regarding KPMG's compliance with federal, state and local recruitment and hiring laws. No...H1bLocal area- .... Reads, understands and complies with departmental policies, protocols and procedures: (i.e. Procedure Manuals, Safety Manual, Compliance Manual, Automobile policies and procedures, Employee Handbook, Quality Assurance Manual). Maintains all appropriate Phlebotomy logs...Work experience placementWork at officeImmediate startFlexible hoursAfternoon shiftWeekday work
- ...across portfolios within Global Markets and related units. The role emphasizes leadership, project delivery, and collaboration with audit partners, with a focus on risk identification, regulatory compliance, and thorough documentation. #J-18808-Ljbffr Bank of America
- ...Manager in the West Warwick, RI area to develop and maintain staffing and payroll systems at the site level, ensuring contractual compliance and financial targets. The role collaborates with security and regional management to forecast staffing needs, drive recruitment,...Shift work
$120k - $150k
...any requested reports. Leads investigations and ensures the proper delivery... ...ID program. Regulatory Compliance Implements and maintains a Security... ...to discover and advance the health of the communities we serve.... ...Montefiore Einstein Center for Cancer Care, Montefiore Einstein Center...Monday to FridayShift work3000 Montefiore Medical Center
Providence, RI3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Fraud Investigator: Health Care Compliance. Be the first to apply!
Related searches
- financial fraud Providence, RI
- fraud prevention Providence, RI
- healthcare administration part time Providence, RI
- healthcare plus Providence, RI
- non clinical healthcare Providence, RI
- healthcare systems engineer Providence, RI
- healthcare team leader Providence, RI
- business office manager healthcare Providence, RI
- healthcare administrator in training Providence, RI
- healthcare call center representative Providence, RI