Medicaid Fraud Investigator

Job Title: Medicaid Fraud InvestigatorJoin the GeorgiaGov team as a Medicaid Fraud Investigator and play a critical role in protecting the state's Medicaid program from fraud and abuse.Job Summary:We are seeking a highly skilled and motivated individual to conduct health care fraud investigations, gather intelligence information, and assist in the...

Job Title: Investigator - Medicaid Fraud DivisionGeorgiaGov is seeking a skilled Investigator to join our Medicaid Fraud Division. As an Investigator, you will play a critical role in conducting health care fraud investigations and assisting criminal justice personnel in gathering intelligence information.Key Responsibilities:Conduct health care fraud...

Job SummaryWe are seeking a highly skilled Nurse Investigator to join our team at the Georgia Department of Law. As a key member of our Medicaid Fraud Division, you will play a critical role in identifying and preventing healthcare fraud.Key ResponsibilitiesConduct thorough reviews of medical records to determine medical necessity and compliance with...

Job SummaryAs a Nurse Investigator with the Georgia Department of Law, you will play a critical role in uncovering and preventing healthcare fraud within the Medicaid program. This position requires a strong understanding of medical policies and procedures, as well as excellent analytical and communication skills.Key ResponsibilitiesConduct thorough reviews...

{"title": "Medicaid Fraud Investigator", "content": "Job SummaryThe Department of Law is seeking a highly skilled Medicaid Fraud Investigator to join our team. As a key member of our Audits section, you will play a critical role in uncovering and preventing Medicaid fraud.Duties & ResponsibilitiesObtain and maintain comprehensive knowledge of Medicare and...

Job Title: Lead Fraud InvestigatorAtlanticus is seeking a highly skilled Lead Fraud Investigator to join our team. As a key member of our fraud investigation team, you will be responsible for leading and organizing routine to complex investigations across several product lines.Key Responsibilities:Lead and organize investigations to identify and prevent...

Job Title: Lead Fraud InvestigatorAtlanticus is seeking a highly skilled Lead Fraud Investigator to join our team. As a key member of our fraud prevention and detection efforts, you will be responsible for leading and organizing routine to complex investigations across multiple product lines.Responsibilities:Lead and organize investigations to identify and...

Job SummaryThe Department of Law is seeking a highly skilled Investigative Auditor to join our team in the Medicaid Fraud Division. As an Investigative Auditor, you will play a critical role in uncovering and preventing Medicaid fraud, ensuring the integrity of our healthcare system.Duties and ResponsibilitiesDevelop and maintain comprehensive knowledge of...

Job Summary:We are seeking a highly skilled Fraud Risk Manager to lead and organize routine to complex investigations across several product lines, including credit card and consumer retail loan products.Key Responsibilities:Lead investigations and serve as a go-to for escalated cases, rep coaching, and trainingResearch and analyze high-risk transactions to...

Transformative Opportunity in Claims Fraud InvestigationAt American International Group, we are reimagining the way we help customers manage risk. As a Claims Fraud Investigator, you will play a pivotal role in this transformation, leveraging your expertise to drive excellence in fraud investigation and recovery.Key Responsibilities:Develop and maintain a...

Transforming Risk Management with AIGAt American International Group, we're redefining the way we help customers navigate risk. As a Claims Fraud Investigator, you'll play a pivotal role in this transformation, leveraging your expertise to drive growth and excellence in our Claims teams.Make Your Mark in Fraud InvestigationOur Claims teams are the go-to...

Job Title: Investigator II - Healthcare Fraud SpecialistAt Elevance Health, we are committed to improving lives and communities through our dedication to healthcare. As a Healthcare Fraud Specialist, you will play a critical role in identifying and investigating healthcare fraud, ensuring the integrity of our healthcare system.Key Responsibilities:Conduct...

Job Title: Investigator IIAt Elevance Health, we are seeking a skilled Investigator II to join our team. As a key member of our organization, you will play a critical role in identifying, investigating, and developing cases against perpetrators of healthcare fraud.Key Responsibilities:Conduct thorough claim reviews to identify potential healthcare...

Job DescriptionAtlanta Postal Credit Union is seeking a highly skilled Fraud Specialist to join our Enterprise Risk Management team. As a Fraud Specialist, you will play a critical role in identifying, mitigating, and preventing fraud within our organization.Key Responsibilities:Conduct thorough investigations into suspicious transactions and activities to...

Job SummaryWe are seeking a skilled Nurse Investigator to join our team at the State of Georgia. As a key member of our Fraud Unit, you will play a critical role in conducting healthcare investigations.Key ResponsibilitiesReview provider and recipient records to identify potential healthcare fraudMake determinations of medical necessity to ensure compliance...

Job Title: Senior Fraud Reporting AnalystStellantis Financial Services US is seeking a highly skilled Senior Fraud Reporting Analyst to join our team. As a key member of our Fraud Management department, you will be responsible for driving operational efficiencies and identifying fraud risks to the organization.Key Responsibilities:Develop and analyze fraud...

Job OverviewEthos Risk Services is a leading provider of private field surveillance and fraud investigation services. We are seeking a skilled and experienced Investigator to join our team!As an Investigator at Ethos Risk Services, you will conduct covert surveillance, review files, and draft detailed case reports. Working autonomously from your vehicle, you...

About InComm Payments:InComm Payments is a leading technology company dedicated to maintaining the highest standards of integrity and security in all our operations.We are seeking an experienced Fraud Analyst to join our team, who will be at the forefront of safeguarding our assets and ensuring the trust of our valued customers.This role requires meticulous...

Senior Fraud Reporting AnalystStellantis Financial Services (SFS) is a leading provider of financial services to the automotive industry. As a Senior Fraud Reporting Analyst, you will play a critical role in driving operational efficiencies within our Fraud Management team.Key Responsibilities:Develop and analyze fraud data to identify risks and recommend...

Job SummaryWe are seeking a highly skilled Public Safety Investigator to join our team at Piedmont Healthcare. As a key member of our security team, you will be responsible for conducting thorough investigations into criminal activity, fraud, and other security-related incidents.Key ResponsibilitiesConduct investigations into criminal activity, fraud, and...