Medicaid Fraud jobs

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RN Nurse Audit Sr - 99966SY
Anthem, Inc. 559 reviews - Norfolk, VA
Medical claims review with prior health care fraud audit/investigation experience preferred. Family of companies focused on serving Medicaid, Medicare and...
Sponsored by Anthem, Inc. - 12 days ago
Investigations Specialist
AmeriHealth Caritas 55 reviews - Philadelphia, PA
Health Caritas is one of the largest Medicaid managed care organizations in the United States. We offer a comprehensive range of core products including full...
Sponsored by AmeriHealth Caritas - 24 days ago
Fraud Investigator, SIU--Pharmacy
AmeriHealth Caritas 55 reviews - Tampa, FL
Fraud Claim Law Specialist (FCLS) preferred. Accredited Health Care Fraud Examiner (AHFI) preferred. Solid knowledge of Medicaid, Medicare laws and requirements...
Sponsored by AmeriHealth Caritas - 30+ days ago

Appeals Representative

Novitas Solutions Inc. - Mechanicsburg, PA
Forward potential fraud issues to the Program Safeguard Contractor. Conduct a review of Medicare Part B claims on services questioned on appeal by the provider...

Manager, Quality Audit/Fraud & Abuse Tech Team

UPMC 272 reviews - Pittsburgh, PA
Knowledge of Medicare, Medicaid and Commercial product regulations and related internal controls and processes....

Pre-Record Review Investigator - Eden Prairie, MN

UnitedHealth Group 1,926 reviews - Eden Prairie, MN
Advanced knowledge and experience working on various approaches to health care fraud. Your career with one of Healthcare's fastest growing companies....

Healthcare Economic Analyst - TN, WI, MN

UnitedHealth Group 1,926 reviews - Wauwatosa, WI
Knowledge of Medicare, Medicaid and/or Commercial health plan and payment methodology. The Healthcare Economic Analyst position requires a strong analytical...

Medicaid Fraud Analyst I

PeopleFirst Florida HR - Leon County, FL
. The anticipated starting salary range is $27,926 - $35,000. Position may be filled at the minimum of the starting range. SPECIAL NOTES: "Anticipated

INVESTIGATOR, #15-060, Medicaid Fraud Division

Commonwealth of Massachusetts 78 reviews - Boston, MA
Perform complex criminal and civil investigations into allegations of fraud committed by providers participating in the Medicaid program....

Benefit Programs Specialist II (Bedford)

Dept of Transportation 7 reviews - Bedford County, VA
Identifies possible fraud and makes appropriate referrals; This position could be in the Families and Children Benefit Unit or the ABD/Long Term Care Medicaid...

Dir Compliance (MIA)

Molina Healthcare 130 reviews - Miami, FL
Establishes active relationships with third parties who have specific experience conducting fraud investigations....


Summit Security Services, Inc. - New York, NY
New York based Investigations & Security Company is seeking qualified individuals to investigate Medicaid Fraud in New York City and the Downstate New York...
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Senior Analytic Consultant

Truven Health Analytics 18 reviews - Denver, CO
Prepare algorithm logic to identify potential Medicaid overpayments and mis-utilization of Medicaid services. Responsible for leading Medicaid program integrity...
Fraud Investigator-SIU HMO
AmeriHealth Caritas 55 reviews - Baton Rouge, LA
Certified Insurance Fraud Investigator (CIFI) preferred. Accredited Health Care Fraud Examiner (AHFI) preferred....
Sponsored by AmeriHealth Caritas - 4 days ago
Compliance Specialist (Healthcare)
Language Services Associates 4 reviews - Horsham, PA
Develop a comprehensive program including policies, procedures and training to meet client compliance obligations (HIPAA, Centers for Medicare and Medicaid...
Sponsored by Language Services Associates - 30+ days ago

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Company with Medicaid Fraud jobs
559 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.