Healthcare Fraud Investigator Specialist

Job OverviewWe are seeking an experienced attorney to join our team in the Division of Medi-Cal Fraud and Elder Abuse (DMFEA), Civil Section located in Sacramento. As a Deputy Attorney General, you will be responsible for investigating and litigating cases of violations of the state False Claims Act (FCA) and other cases involving Medi-Cal fraud.

Job Title: Claims / SIU InvestigatorJoin Allied Universal Compliance and Investigations as a Claims / SIU Investigator and take your career to the next level in insurance claim investigation. As a global leader in the industry, we offer dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our diverse and inclusive...

Job Title: Welfare Fraud Prevention CoordinatorThis position is located in a high-rise building and requires some travel with overnight stays. The Department of Social Services is seeking a motivated, organized, multi-tasking, team player to join our team.Job Summary:The Welfare Fraud Prevention Coordinator will be responsible for systematic approaches to...

About the JobThe Security Investigator plays a critical role in supporting the Security Program and the Chief Security Officer (CSO) in preventing, detecting, investigating, litigating, and prosecuting fraud and theft across all functional and geographic units.Key ResponsibilitiesDevelop and operate a comprehensive program for the prevention, detection,...

About the JobAt Ascendion, we're looking for a skilled Digital Fraud Detection Specialist to join our team. As a key member of our fraud prevention team, you'll be responsible for analyzing complex datasets and uncovering fraud patterns using SQL, Python, and other tools.Key Responsibilities:Leverage advanced data analysis techniques to identify and prevent...

Job Title: Claims / SIU InvestigatorAt Allied Universal Compliance and Investigations, we are seeking a skilled Claims / SIU Investigator to join our team. As a Claims / SIU Investigator, you will be responsible for investigating suspected fraudulent insurance claims and gathering information to determine the validity of claims.Responsibilities:Investigate...

Job Description: The California Department of Justice is seeking a highly skilled Deputy Attorney General to join our Division of Medi-Cal Fraud and Elder Abuse (DMFEA) in Sacramento. This is an exciting opportunity for a talented attorney to work on complex cases involving Medi-Cal fraud and elder abuse, As a Deputy Attorney General, you will be...

Job OpportunityEthos Risk Services is expanding its team of Private Field Surveillance Investigators to tackle fraud and conduct covert surveillance in the field.We are seeking Experienced Licensed Investigators in the Sacramento, CA area to join our team and contribute to the integrity of the health care and insurance industry.As a Surveillance Investigator...

Job Description and DutiesThis is a permanent, full-time position in the Secretary of State's Investigations Unit. The incumbent is responsible for supervising and directing the work processes and program functions relating to the unit.Key Responsibilities:Supervise and direct the work of a small to medium unit of staff consisting of analysts, support staff,...

Job SummaryWe are seeking a highly skilled Senior Cybersecurity Specialist to join our team at the State of California. This is a critical role that involves performing advanced IT systems engineering tasks to address security and fraud-related issues.Key ResponsibilitiesDesign, develop, and implement complex security systems solutionsConfigure and manage...

Pacific Staffing Employment Specialist is seeking a skilled Licensed Vocational Nurse to join our team for a short-term project. This is a fantastic chance for experienced professionals to contribute their expertise and potentially be considered for internal positions as they become available.Company OverviewPacific Staffing Employment Specialist is a...

Job SummaryAs an Asset Protection Specialist at Home Depot, you will play a critical role in preventing financial loss caused by theft and fraud. You will support safety and environmental program compliance in your assigned store or multiple stores, identifying incidents of theft and fraud, reviewing CCTV and exception reports, and monitoring the store's...

Job OpportunityAccess Healthcare is seeking a pediatric nurse specialist for a travel nursing position in Sacramento, California.Job DetailsJob Title: Pediatric Nurse SpecialistLocation: Sacramento, CaliforniaDuration: 13 weeksShift: 12 hours, nightsSalary: $150,000 - $180,000 per year, based on 36 hours per week and 12 hour shiftsCompany OverviewAccess...

Loss Prevention SpecialistPrevent financial loss caused by theft and fraud in Home Depot stores;Support safety and environmental program compliance in assigned stores;Identify incidents of theft and fraud, review CCTV and exception reports, and monitor the store’s physical security.At Home Depot, you’ll work closely with the store team to identify and...

Job Description and DutiesUnder the general direction of the Staff Services Manager I, the Health Program Specialist I is responsible for providing specialty healthcare service liaison duties in the Registry Network Team. This position is critical to the Department's mission to provide constitutionally adequate and cost-effective healthcare services for...

Job SummaryIDR Healthcare is seeking a skilled Healthcare Enrollment Specialist to join our team. As a key member of our enrollment team, you will be responsible for managing new member or group registration information, ensuring accuracy and timely updates. This includes data management, eligibility verification, and stakeholder communication.Key...

Pediatric Healthcare Specialist OpportunityAt TotalMed Staffing, we are seeking a skilled Pediatric Healthcare Specialist to join our team. This role will involve providing high-quality patient care in a pediatric setting. Key Responsibilities: Provide direct patient care to pediatric patients Collaborate with healthcare teams to develop and implement...

Job Title: Health Pharmaceutical Consultant SpecialistJoin the California Department of Public Health (CDPH) as a Health Pharmaceutical Consultant Specialist and contribute to the advancement of public health in California. This role involves reviewing and analyzing federal and state laws and legislation related to pharmaceutical services, evaluating and...

Job Title: Asset Protection SpecialistAt Home Depot, we're committed to providing a safe and secure environment for our customers and employees. As an Asset Protection Specialist, you'll play a critical role in preventing financial loss caused by theft and fraud.Key Responsibilities:Support safety and environmental program compliance in assigned...

Join Gainwell Technologies LLC as a Healthcare Operations SpecialistWe are seeking a skilled and detail-oriented Healthcare Operations Specialist to join our team at Gainwell Technologies LLC. As an Appeals Clerk, you will play a critical role in processing appeals and ensuring the accuracy and efficiency of our operations.Your Key ResponsibilitiesProcess...