FRAUD AND ENFORCEMENT INVESTIGATOR, CONTRACTUAL MIA Analyst II
State of Maryland
Introduction The Maryland Insurance Administration (MIA) is an independent State agency that regulates Maryland’s $46 billion insurance industry and protects consumers by monitoring and enforcing insurers’ and insurance professionals’ compliance with State law. Staff members are subject matter experts who serve as a resource for lawmakers, consumers, and other public and private entities. Grade
MIA 0016
Location of Position Baltimore City or Hybrid (between office and teleworking) Main Purpose of Job This is a contractual Fraud and Enforcement Investigator position in the Insurance Fraud and Producer Enforcement Division. This position conducts detailed civil and administrative investigations into allegations of insurance fraud and other violations of the Insurance Article, by licensed and unlicensed individuals and entities. Position Duties The position responsibilities include: interviewing witnesses, respondents and suspects; collecting and analyzing documents and evidence; preparing detailed reports, case files, subpoenas, orders to produce, applications for statement of charges or civil fraud orders. The Fraud and Enforcement Investigator testifies in Court and Administrative proceedings and works closely with prosecutors, Assistant Attorneys General, and law enforcement agencies. Additional responsibilities may include consulting with the Chief Enforcement Officer and the Senior Enforcement Officer concerning casework. The Fraud and Enforcement Investigator is required to travel statewide to perform job responsibilities. Minimum Qualifications Education: Bachelor’s degree from an accredited four-year college or university. Experience: Five years of experience conducting investigations of fraud, financial crimes or other civil or criminal misconduct matters; or five years of experience reviewing and analyzing financial documents for investigative purposes. Additional experience conducting investigations of fraud, financial crimes or other civil or criminal misconduct matters, or reviewing and analyzing financial documents for investigative purposes may substitute on a year-for-year basis for up to four years of the required education. Licenses, Registrations and Certifications Employees in this position will be assigned duties which require the operation of a motor vehicle. Such employees will be required to possess a motor vehicle operator's license valid in the State of Maryland. Benefits Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents. As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits. Leave may be granted to a contractual employee at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year. Equal Opportunity Employment As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity. #J-18808-Ljbffr State of Maryland- CVSHealth is looking for an analytically driven individual to join their Special Investigations Unit as a lead reviewer. This position focuses on identifying fraud, waste, and abuse through rigorous data analysis and reporting. Ideal candidates will have at least 5 years...FraudFull time
$46.99k - $112.2k
...family and one community at a time. Position Summary The Special Investigations Unit (SIU) is looking for an analytically driven individual... ...lead reviewer is accountable for the validation of existing Fraud, Waste and Abuse business rules/leads designed to detect aberrant...FraudHourly payFull timeTemporary workWork experience placementLocal area- ...Maryland Insurance Administration (MIA) is an independent State... ...consumers by monitoring and enforcing insurers' and insurance professionals... ...Chief of Criminal and Civil Fraud in the Insurance Fraud and... ...Enforcement. Oversee investigative operations, including supervision...FraudWork at officeRemote work
- Howard County Government is seeking Investigators for the Office of Inspector General to conduct complex investigations related to fraud, waste, and misconduct. The position requires a Bachelor's degree and four years of relevant experience. Investigators will analyze...FraudWork at office
- The State of Maryland is hiring a Chief of Criminal and Civil Fraud within the Maryland Insurance Administration (MIA). This role involves overseeing investigations of insurance fraud, providing guidance to a team of investigators, and ensuring compliance with laws and...Fraud
$99k - $225k
...Experience reviewing, interpreting, and enforcing Security Technical Implementation Guides... ...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during...FraudFull timeContract workPart timeWork at officeLocal areaRemote work$37.31 - $58.75 per hour
...issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures. Revenue Integrity Analyst II Service Areas: Emergency/Trauma, Transport, Behavioral Health, Transplant, Donor BMT, Sleep, EEG/EMG, Respiratory/PFT. Schedule:...Hourly payMonday to FridayFlexible hours- Description Title: Human Resources Analyst II Clearance Type: Secret Scope: Provide services in support of development, training, and tracking of the CPE IEW&S workforce. Responsibilities (including But Not Limited To) Track workforce training and development. Maintain...
- A management consulting firm is looking for a Program Analyst II to provide acquisition program management support in various phases of the program life cycle. Responsibilities include developing acquisition documents, data analysis, coordinating staff materials for presentations...Work at office
- Program Analyst II (Operations) Clearance Type: Secret Scope: Provide acquisition program management and analysis support services for the planning and execution of CPE IEW&S programs at different acquisition category levels and in all phases of a program life cycle....Work at office
- Description Position title Database Analyst II Location Aberdeen Proving Ground, MD Clearance required TS/SCI Responsibilities Include (but Are Not Limited To) Manage the development of database projects. Demonstrate experience with DBMS design, system analysis and...
$46.99k - $112.2k
...Enhancement is searching for an analytically driven Lead Reviewer in Maryland at CVS Health®. You will be responsible for identifying fraud, waste, and abuse patterns through data analysis and interpretation. Required qualifications include 5+ years of claim data...FraudFull time- Intermountain Health is seeking a Revenue Integrity Analyst II to manage billing issues and optimize patient accounts in Annapolis, Maryland. This role requires certification in medical coding and a Bachelor's degree in healthcare administration or related fields. The...
- .... Participate in the peer review process, primarily as the reviewed party. May also act as a reviewer for Associate Analyst I and Associate Analyst II work. Receive assistance and guidance from Benefit Analyst Team mentors. Use analytic tools with guidance. Keep current...Temporary workWork at officeLocal areaFlexible hours
$70k - $85k
Risk Adjustment Coding Specialist II - Maryland Department: Quality - Risk Adjustment Employment Type: Full Time Location: Maryland, USA Reporting To: Teaveous Robinson Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly motivated...Full timeWork at officeRemote work- Envision Innovative Solutions is seeking a motivated Contracts Management Analyst II in Aberdeen Proving Ground, Maryland. The role involves reviewing acquisition documents, preparing contract metrics, and acting as a liaison between program managers and the Army Contracting...Contract work
- ...Job Description The Case Analyst II plays a significant role on a fully remote team supporting case analysis and reconciliation of... ...of the outcome of their case. Be a contributor to workflow investigations, business procedures, and process improvements....Contract workRemote workFlexible hours
- ...Patient Service Representative II The Patient Service Representative II ensures the patients receive the highest level of customer... ...HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse. Complies with HR confidentiality standards....FraudWork at officeShift work
- A leading consulting firm based in Maryland is looking for a Human Resources Analyst II. The role involves tracking workforce training and development, maintaining training systems, assisting in HR database management, and preparing reports. Candidates should possess a...
- People, Technology & Processes, LLC is looking for a Database Analyst II to manage database projects at Aberdeen Proving Ground, MD. Candidates should have a Bachelor’s degree in computer science or related field along with at least 8 years of experience, or an Associates...
- ...ways to foster a culture of bold innovation. We do this to ensure that in Maryland, we leave no one behind. This is a full-time contractual position. GRADE 18 LOCATION OF POSITION Maryland Department of Human Services Child Support Administration 25 S. Charles St Baltimore...Full timeContract workSelf employmentWork at office
$71.4k - $107k
Configuration Data Management Analyst II Description Textron Systems is part of Textron, a $14 billion, multi-industry company employing 35,000 talented makers, thinkers, creators and doers worldwide. We make things that fly, hover, zoom and launch. Things that move people...Full timeWork at officeLocal areaWorldwideFlexible hoursShift workDay shift$77.6k - $176k
...Data Analyst, Senior The Opportunity: As data analyst, you love diving into data... ...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during...FraudFull timeContract workPart timeFor contractorsWork at officeLocal areaRemote work- The FIU AML Risk Investigator (Investigator) serves as a subject matter expert performing... ...interpretation upon review of subpoenas / law enforcement requests is required. The Investigator... ...reporting related to BSA/AML and Fraud. * Utilizes a variety of analytical techniques...FraudWork experience placement
$60k - $130k
...engagements involving coding audits, disputes, claims analysis, and investigations. Deliver high-quality, accurate coding analysis that informs... ...to billing, coding, and reimbursement, including potential fraud, waste, and abuse. Support the development of defensible...FraudWork at officeLocal areaFlexible hours$99k - $225k
...leaders? As a network and access discovery analyst, you will use your specialized technical... ...selected will be subject to a security investigation and may need to meet eligibility... ...authenticity and protect against identity fraud. You are expected to be on camera during...FraudFull timeContract workPart timeWork at officeLocal areaRemote work$75.2k - $158.1k
Job Title: Intel Analyst - Foreign Ownership Control Influence Job Category: Intelligence... ...recommendations. Identify and investigate suspected front companies, procurement agents... ...technological advancements. Certified Fraud Examiner (CFE) Certified Information Systems...FraudFull timeContract workWork experience placementImmediate startRemote workFlexible hours- ...Lead Business Analyst / Quality Assurance Anywhere Type: Contract Category: Business Analysis Industry: Technology Workplace... ...have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is...FraudHourly payContract workLocal areaRemote work
$39.39k - $65.65k
A leading title services company is seeking a Title Abstractor II to provide nationwide title services. Responsibilities include conducting title research for residential transactions and assembling title packages, which may involve traveling to courthouses and municipalities...Remote job$69.4k - $158k
...CNO Analyst and Programmer The Opportunity: As an embedded software engineer, you... ...selected will be subject to a security investigation and may need to meet eligibility requirements... ...and protect against identity fraud. You are expected to be on camera during...FraudFull timeContract workPart timeWork at officeLocal areaRemote work
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