Medicaid Fraud Investigator

Position Overview As a key member of the Medicaid Fraud Control Unit (MFCU) at CAPPS, Inc., you will engage in sophisticated criminal investigations related to Medicaid provider fraud and nursing home issues. Your role will involve collaborating with various law enforcement agencies to ensure compliance with state and federal regulations. CAPPS, Inc. is...

Job DescriptionRevised 7/12/2023General DescriptionThe Medicaid Fraud Control Unit (MFCU) is seeking a highly skilled and experienced investigator to join our team. As a Sergeant Investigator, you will be responsible for conducting complex criminal investigations of Medicaid provider fraud and nursing home related investigations.Work involves conducting...

About the RoleWe are seeking a highly skilled and experienced Senior Investigator to join our Medicaid Fraud Control Unit (MFCU) team. As a key member of the team, you will be responsible for conducting advanced criminal investigations of Medicaid provider fraud and nursing home related investigations.Key ResponsibilitiesConduct complex criminal...

Job Title: Sergeant - Medicaid Fraud Control UnitJoin the Medicaid Fraud Control Unit as a Sergeant and contribute to the protection of Medicaid resources and the integrity of the healthcare system. As a Sergeant, you will be responsible for conducting complex criminal investigations of Medicaid provider fraud and nursing home-related investigations.Key...

Job SummaryWe are seeking a highly skilled and experienced Senior Investigator to join our Medicaid Fraud Control Unit team. As a Senior Investigator, you will be responsible for conducting complex criminal investigations of Medicaid provider fraud and nursing home related investigations.Key ResponsibilitiesConduct thorough and detailed investigations of...

About the RoleWe are seeking a highly skilled and experienced Senior Fraud Investigator to join our team at USAA. As a key member of our Special Investigations Unit (SIU), you will play a critical role in identifying and mitigating fraud risk within our organization.Key Responsibilities:Conduct thorough investigations into suspected fraud cases, utilizing...

Protecting USAA and Our MembersAs a dedicated SIU field investigator, you will play a critical role in safeguarding USAA and our members from potential fraudulent claims. Within defined guidelines and framework, you will investigate complex fraud investigations with significant financial impact to USAA.Key ResponsibilitiesConduct thorough investigations into...

About the RoleWe are seeking a skilled and detail-oriented Fraud Investigator to join our team at Navy Federal Credit Union. As a key member of our organization, you will be responsible for performing and documenting investigations related to possible fraud and suspicious activity monitoring.Key ResponsibilitiesInvestigate various types of transactions,...

About the RoleAs a dedicated Senior Fraud Investigator, you will play a critical role in safeguarding USAA and its members from potential fraudulent claims. Within defined guidelines and framework, you will investigate complex fraud investigations with significant financial impact to USAA.Key ResponsibilitiesConduct thorough investigations into complex fraud...

Job Title: Special Investigator Job Summary: We are seeking a highly skilled Special Investigator to join our team at Diverse Lynx LLC. As a Special Investigator, you will be responsible for executing fraud investigation cases, conducting regulatory reporting, and developing strategies to combat life company product fraud. Key Responsibilities: * Execute...

Fraud Specialist Role at Credit HumanWe are seeking a skilled Fraud Specialist to join our Fraud Services Department. This critical role is dedicated to identifying and mitigating account and card fraud, minimizing potential losses and protecting our customers.Key Responsibilities:Investigate and analyze fraud patterns and trendsDevelop and implement...

About USAAUSAA is a leading financial services organization dedicated to serving the needs of U.S. military members and their families. Our mission is to facilitate the financial security of millions of Americans who have served their country.The OpportunityWe are seeking a highly skilled and experienced Director, Special Investigations Unit to join our...

About the RoleWe are seeking a highly skilled and experienced professional to lead our Special Investigations Unit (SIU) as a Director. As a key member of our Claims organization, you will be responsible for developing and implementing strategies to prevent and detect fraud in our Property & Casualty Insurance business.Key ResponsibilitiesDevelop and execute...

About the RoleWe are seeking a highly skilled and experienced professional to lead our Special Investigations Unit (SIU) as a Director. As a key member of our Claims organization, you will be responsible for developing and implementing strategies to prevent and detect fraud in our Property & Casualty Insurance business.Key ResponsibilitiesDevelop and execute...

About the RoleWe are seeking a skilled SIU Case Manager to join our team at USAA. As a key member of our team, you will play a critical role in evaluating and concluding claims identified by SIU Investigators as having elements of fraud or an intentional act.As an SIU Case Manager, you will investigate unusual, questionable, or suspicious claims or...

About the RoleThis is an exciting opportunity to join Citigroup Inc as a Fraud Operations Specialist, where you will play a critical role in protecting our clients' accounts and identities from fraudulent activities.Key ResponsibilitiesConduct thorough risk assessments to identify potential fraud and minimize financial impact.Deliver exceptional customer...

About USAAUSAA is a leading financial services provider dedicated to serving the military community. Our mission is to facilitate the financial security of millions of U.S. military members and their families. We're committed to giving back to those who have served, and we're working together to build a great experience and make a real impact for our...

About the RoleWe are seeking a highly skilled and motivated Fraud Customer Service Representative to join our team. As a Fraud Customer Service Representative, you will be responsible for resolving multi-product fraud-related client requests in a fast-paced environment.Key ResponsibilitiesAnswer inbound calls from customers/clients with questions concerning...

Job Title: Fire InvestigatorEfi Global is seeking a highly skilled Fire Investigator to join our team. As a Fire Investigator, you will be responsible for conducting thorough and detailed investigations to determine the origin and cause of fires and explosions.Key Responsibilities:Investigate assigned claims suspected of insurance fraud, including large...

About the RoleGuidehouse is seeking a highly skilled Financial Crimes Compliance Investigations and Quality Control Analyst to join our team. As a key member of our team, you will play a critical role in ensuring the integrity of our financial systems and processes.Key ResponsibilitiesPerform AML alert/case reviews to mitigate risks associated with financial...