Investigator - Fraud Detection Specialist

3 weeks ago


San Diego, California, United States Department of Health Care Services Full time

Job Title: Investigator - Fraud Detection Specialist

About the Role:

The Department of Health Care Services is seeking a skilled Investigator to conduct thorough and complete investigations into allegations of fraud perpetrated against the California Medical Assistance Program (Medi-Cal) and other programs under the department's review.

Key Responsibilities:

  • Conduct full and complete investigations into allegations of fraud, gathering and analyzing facts and evidence to draw valid conclusions and make appropriate recommendations.
  • Work closely with the Department of Health Care Services' Audits & Investigations Division to identify and investigate potential cases of fraud.
  • Develop and maintain relationships with stakeholders, including law enforcement agencies and other government entities, to ensure effective collaboration and information sharing.
  • Stay up-to-date with changing laws and regulations related to fraud detection and prevention.

Requirements:

  • Ability to analyze complex situations accurately and make sound judgments.
  • Strong communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
  • Ability to work independently and as part of a team, with a strong commitment to achieving results.
  • High school diploma or equivalent required; bachelor's degree in a related field preferred.

Working Conditions:

The Investigator will work in a fast-paced environment, with frequent travel required to conduct investigations and meetings with stakeholders. The position requires a high level of discretion and confidentiality, as well as the ability to work in a dynamic and ever-changing environment.

Benefits:

  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • Collaborative and dynamic work environment.

How to Apply:

Interested candidates should submit their application, including a resume and cover letter, to the Department of Health Care Services' website.



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