Medicare Fraud Investigator jobs in Roseville, CA

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Healthcare Fraud SME (Subject Matter Expert)

Pondera Solutions - Sacramento, CA
The system flags transactions that violate predetermined thresholds and sends an Alert to an integrated dashboard "built by investigators, for investigators."....
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Healthcare Fraud Investigator

NCI Information Systems, Inc. - 5 reviews - Sacramento, CA
Experience in fraud detection and investigation within the Medicare program. Makes potential fraud determinations by utilizing a variety of sources such as the...

Senior Healthcare Fraud Investigator

NCI Information Systems, Inc. - 5 reviews - Sacramento, CA
Makes potential fraud determinations by utilizing a variety of sources such as the UPIC's Internal guidelines, Medicare provider manuals, Medicare regulations,...

Healthcare Data Analyst

NCI Information Systems, Inc. - 5 reviews - Sacramento, CA
Prepare, develop and participate in provider, beneficiary, law enforcement, or staff training as related to fraud, waste and/or abuse data analysis within and...

Medical Review Registered Nurse (RN)

NCI Information Systems, Inc. - 5 reviews - Sacramento, CA
Ability to read Medicare claims, both paper and electronic, and a basic knowledge of the Medicare claims systems....

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