Medicaid Fraud Investigator (Financial Crimes)
Ncaocr
The Ncaocr in Wake County, NC, is hiring a Financial Investigator to support investigations into Medicaid fraud and patient abuse. Responsibilities include conducting interviews, analyzing financial documents, and preparing investigative reports based on findings. Candidates should have a Bachelor's degree in accounting or related field and experience in auditing or investigating crimes. Strong data analysis skills and proficiency in Microsoft Office, particularly Excel, are essential. The position offers a range of state employee benefits, including health insurance and retirement plans. #J-18808-Ljbffr Ncaocr
- The State of North Carolina - Justice is seeking a Financial Investigator I to conduct complex investigations involving Medicaid fraud and patient abuse. The candidate will analyze financial documents, conduct interviews, and prepare detailed reports. A bachelor's degree...Financial
- A regional financial institution seeks a Fraud Investigator to minimize financial losses by identifying and investigating fraudulent activities. Responsibilities include analyzing financial transactions, collaborating with law enforcement, and preparing documentation for...Financial
- Join BECU as a Fraud Investigator II in North Carolina, where you will safeguard financial assets and protect members by identifying and resolving fraudulent activity. This role requires a Bachelor's degree and 3 years of experience in fraud detection or customer service...Financial
$35.05 - $42.84 per hour
Is it surprising to hear that a financial institution of 1.5 million members and over $3... ...donation match Impact You’ll Make As a Fraud Investigator II, you’ll play a critical role in... ...protecting members and preventing financial crime Hands‑on experience with advanced...FinancialHourly pay- ...will be responsible for minimizing financial losses by proactively identifying, investigating and pursuing legal action against... ...activity, ensuring that fraud related charge offs are kept to a... ...in fraud investigation, financial crimes, or risk management High School...FinancialLive outWork at office
- ...Employee Benefits Corporation is hiring for a Fraud Prevention Analyst. In this role, you’ll... ...products and operations. You’ll combine investigation, analytics, and risk management to... ..., or risk management within a regulated financial or related environment Bachelor's degree...FinancialWork at officeRemote workFlexible hours
- ...Services Group - Insurance Company Examiner I (NS), Position Number 60013679, Grade NC12. About the Position Primary Purpose: This financial analyst position will conduct financial analysis of North Carolina domestic captive insurance companies, evaluate applications for...FinancialWork at officeRemote workFlexible hours
- A financial institution in North Carolina is seeking a Fraud Manager responsible for overseeing fraud prevention and detection operations. The ideal candidate will manage a fraud team, handle complex investigations, and collaborate with various stakeholders to minimize...Financial
- ...DESCRIPTION Join a high-impact team at the forefront of digital fraud prevention, where your analytical expertise directly safeguards... .... Maintain a strong understanding of P&L drivers and the financial impact of fraud strategies. Required Qualifications, Capabilities...Financial
$92k - $102k
...Prepare, review, and finalize complex Medicaid cost reports and supplemental payment program... ...Reconcile general ledger accounts and investigate variances, trends, and unusual... ...related to cost reporting, reconciliations, financial controls, and policy and procedures....FinancialFor contractorsH1bWork at officeLocal areaRemote work$81.62k - $95k
Arts In Wilmington is seeking an Insurance Company Examiner Manager in Wake County, NC. This role involves supervising a team in the Financial Analysis Division to ensure compliance with insurance laws and regulations. The position offers a salary range of $81,620 - $95,00...Financial- Ncaocr is seeking an Insurance Company Examiner Manager to assist the Chief Financial Analyst in regulating all authorized insurers in North Carolina. The position involves supervising a team, ensuring compliance with state laws and financial regulations, and managing FAD...FinancialFull timeRemote work
- ...insurance agents, adjusters, bail bondsmen and more, along with investigating fraud matters involving insurance consumers and any entity or... ...management. Job Description Summary: This is a key position in the Financial Analysis Division (“FAD”). This employee will assist the...FinancialTemporary workWork experience placementWork at officeRemote workFlexible hoursNight shift
- Apple Inc. is seeking an SDS Fraud Investigator for their Apple Store Online based in Cary, NC. The role involves analyzing orders to prevent... ..., you will work independently, interact with customers and financial institutions, and make crucial decisions in resolving fraud...Financial
- SDS Fraud Investigator, Apple Store Online Cary, North Carolina, United States Support and Service At Apple, our people and their ideas inspire... ...A key part of your role will be engaging with customers or financial institutions to verify orders and fielding inquiries via an...FinancialFlexible hours
$54.3k - $145.86k
...strategic professional to serve as the Medicaid Market Manager for our Risk Adjustment... ...performance drivers, challenges, and solutions. Investigate operational issues that impact market... ...support the physical, emotional, and financial well‑being of colleagues and their...FinancialFull timeWork experience placementLocal area$100k - $231.54k
...Revenue Integrity (RI), the Lead Director - Revenue Integrity (Medicaid) is responsible for driving segment-level performance across... ...benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for...FinancialHourly payFull timeTemporary workWork experience placementWork at officeLocal area$55.82k - $69k
## Financial InvestigatorApplylocations: Wake County, NCtime type:... ...Classification Title**Financial Investigator I (NS)**Position Number**650... ...the North Carolina State Crime Lab, the North Carolina... ...area of criminal and civil Medicaid fraud schemes, patient abuse or neglect...FinancialWork at officeLocal areaNight shift$55.82k - $69k
...Classification TitleFinancial Investigator I (NS)Position Number6503802... ...the North Carolina State Crime Lab, the North Carolina Justice... ...area of criminal and civil Medicaid fraud schemes, patient abuse or... ...case investigations involving financial analysis. Work requires knowledge...FinancialWork at officeLocal areaNight shift- ...experienced professional to lead strategic engagements related to Medicaid and Medicare cost reports. This role requires a strong... ...healthcare reimbursement and substantial experience in accounting and financial analysis. The ideal candidate will possess at least 10 years...Financial
$75k - $85k
...Raleigh, NC, is looking for an accountant to prepare and analyze Medicaid cost reports. Candidates should possess a Bachelor’s degree in... ..., with 2-4 years of relevant experience. The role involves financial analysis, client coordination, and compliance with federal regulations...FinancialRemote job$55.22k - $72.1k
...State of North Carolina - Health & Human Services is seeking a Financial Analyst II to support the Provider Reimbursements Unit. This... ...plays a crucial part in rate setting and reimbursement needs for Medicaid Programs while ensuring compliance with state and federal...Financial$55.22k - $96.64k
The NC Department of Health and Human Services is seeking a Financial Analyst II. This role supports the Provider Reimbursements Unit,... ...analysis, rate setting, and compliance with regulations concerning Medicaid programs. Ideal candidates have a Bachelor's degree in finance...Financial- LE05 Public Consulting Group LLC (Health) is seeking an experienced accounting professional to prepare complex Medicaid cost reports and analyze financial data. This remote position requires strong organizational skills and GAAP compliance. The ideal candidate has a Bachelor...FinancialRemote job
$75k - $85k
...seeking an experienced accountant to prepare and analyze complex Medicaid cost reports. The ideal candidate will have a Bachelor's... ...Responsibilities include ensuring compliance with regulations, analyzing financial data, and assisting with audits. The role also requires...FinancialRemote job- Plante & Moran, PLLC is seeking an Intern to support financial health assurance for various organizations. You will analyze client financial information for Medicare and Medicaid cost reporting, develop client relationships, and research industry trends. The ideal candidate...FinancialInternship
$70k - $130k
...Financial Crimes Oversight Testing Role This role will conduct financial crimes oversight testing on US business units' AML controls. This requires proactive participation with oversight scoping, fieldwork, and reporting. The role will present findings to relevant...FinancialFull timeWork at officeFlexible hours- ...evaluation. The Head of Quantitative Financial Crimes leads the design, development, and governance... ...financial crimes (including AML, fraud, sanctions, and cyber-enabled risks)... ...and integrating data, technology, and investigative workflows to enhance detection effectiveness...FinancialWork 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 Waste Investigator involves moderately complex to complex issues where the...Bi-weekly payTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday$46.99k - $122.4k
...in a prepayment environment Investigates to prevent payment of fraudulent... ...company lost as a result of fraud matters. Assists team in... ...have a minimum of three years Medicaid Fraud, Waste and Abuse investigatory... ...the physical, emotional, and financial well‑being of colleagues and...FinancialHourly payFull timeTemporary workLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Fraud Investigator (Financial Crimes). Be the first to apply!
- bank fraud investigator Raleigh, NC
- fraud investigator Raleigh, NC
- fraud manager Raleigh, NC
- anti fraud Raleigh, NC
- fraud prevention Raleigh, NC
- work from home fraud jobs Raleigh, NC
- product manager fraud Raleigh, NC
- fraud prevention manager Raleigh, NC
- financial institutions Raleigh, NC
- financial engineer Raleigh, NC

