Investigator - Fraud Detection Specialist
3 weeks ago
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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