Medicaid Fraud jobs

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Legal Compliance Analyst
Advance Health - 86 reviews - Chantilly, VA
E ns ur i ng compliance with all Medicare and Medicaid program requirements, a n d respon s ible for obt a ining and maintaining Advance Health's Medicaid...
Claims Denial Representative
Indeed Hire in partnership with a Healthcare Company (Confidential) - Washington, DC
Experience working with health care benefits or DC Medicaid. A minimum of three (3) years of medical billing experience, particularly in the area of fraud,...
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Director of Corporate Compliance
National Health Care Associates, Inc. - 13 reviews - Valley Stream, NY
$140,000 - $150,000 a year
Oversees all internal investigations related to Medicare/Medicaid/ fraud or abuse as well as violations of health care privacy standards, and high risk events....
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Program Integrity (Managed Care Unit) - Coordinator 1

University of New Orleans - Baton Rouge, LA
$40,000 - $50,000 a year
Educate providers on appropriate billing and Medicaid policy, rules, and regulations. Identify and investigate audit leads and risk areas within the Medicaid...
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Healthcare Fraud Investigator

NCI Information Systems, Inc. - 186 reviews - Milwaukee, WI  +4 locations
Preference is given to those candidates with experience in fraud detection and investigation within the Medicare and/or Medicaid program....

Junior Investigator

CSRA - 168 reviews - Virginia
And recommend referral to law enforcement if potential fraud, waste and abuse (FWA) is identified....

Policy & Contracts Analyst

UnitedHealth Group - 5,939 reviews - Dallas, TX 75215 (South Boulevard-Park Row area)  +4 locations
Serve as a resource to fraud analysts, investigators, and clients. Provides State Medicaid, Medicare research to determine the reimbursement and regulatory...

Security Investigator

Northrop Grumman - 2,969 reviews - Providence, RI 02912 (College Hill area)
One year fraud detection system deployment experience. Provide subject matter expertise in the realm of Medicaid and other public benefit programs to continue...

Investigator 3 (Medicaid Fraud Investigator)

State of Oregon - 252 reviews - Portland, OR
Medicaid Fraud Investigator positions are non-sworn. The Medicaid Fraud Unit deters, investigates and prosecutes fraud by Medicaid providers and physical or...

ADMINISTRATOR I

State of Maryland - 353 reviews - Baltimore, MD
$44,017 - $70,265 a year
The Office of the Attorney General is seeking applicants for a Data Analyst position in its Medicaid Fraud Control Unit (MFCU)....

Senior Investigator

UnitedHealth Group - 5,939 reviews - Albuquerque, NM 87101
New Mexico Medicaid experience. The Senior Investigator will be responsible for triaging, investigating and resolving instances of healthcare fraud and / or...

VSP Vision Care - Fraud Investigator

VSP - 67 reviews - Rancho Cordova, CA 95670
Identify and document common patterns of fraud; Evaluate information regarding suspected fraud to determine viability of case....

Claims Investigator

Briljent - 16 reviews - Fort Wayne, IN
Prior experience working collaboratively with healthcare providers and/or Medicaid. Knowledge or experience with healthcare claims data and health care fraud....
Auditor (Healthcare Claims/Medical Records)
Evolent Health - 39 reviews - Louisville, KY
A minimum of three (3) years of Medicaid Fraud, Waste, and Abuse investigatory experience. 1-2 years prior healthcare fraud investigations experience....
Compliance Specialist - Medicaid, CHOICE Health Plan
Strong knowledge of Medicare or Medicaid statutes, regulations, policies, claim processing, audit, and reimbursement principles and procedures related to health...

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