Top 126 Medicaid fraud control unit Jobs

Investigator - Medicaid Fraud Control Unit
Missouri Attorney General —Jefferson City, MO
- $51,000 - $55,000 a year
- Online Application
- Microsoft Word
- Writing skills
- Research
Quick Apply
Investigator, Medicaid Fraud Control Unit
Attorney General & Dept of Law —Virginia Beach, VA
- $73,000 - $79,500 a year
- Full-time
- Word processing
- Computer literacy
- Mid-level
8d
SME - Medicaid Program Integrity and Claims Audits
BerryDunn —Remote
- $120,000 - $140,000 a year
- Full-time
- Bachelor of Science
- Research
- Analysis skills
- Dental insurance
Investigator, Special Investigative Unit-must reside in Florida
Molina Healthcare —Florida
- $21.82 - $42.55 an hour
- Full-time
- Anatomy knowledge
- Customer service
- Research
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —North Carolina
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
- Dental insurance
Eligibility Technician (Eligibility Technician) (4452-12)
Hamilton County, Ohio —Cincinnati, OH
- $21.22 an hour
- Full-time
- Hybrid work
- Background check
- Writing skills
- Basic math
- Free parking
- Wellness program
Quick Apply
Fraud Investigations Manager
Peraton —Fort Meade, MD
- $104,000 - $166,000 a year
- Remote
- Management
- Research
- Recruiting
- Health savings account
- Paid holidays
Compliance Auditor
Chesapeake Regional Medical Center —Chesapeake, VA
- Hybrid work
- Nursing
- Microsoft Excel
- Research
Quick Apply
13d
Special Investigations Unit Senior Investigator
CVS Health —Massachusetts
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Medicaid Fraud Supervisor, Springfield, 23-E-40
Illinois Attorney General (IL) —Chicago, IL
- $90,000 a year
- Full-time
- Management
- CPA
- Computer Science
Medicaid Fraud Supervisor, Springfield, 23-E-40
Office of the Illinois Attorney General —Chicago, IL
- $90,000 a year
- Full-time
- CPA
- Computer Science
- Research
Investigator, Special Investigative Unit-Nebraska
Molina Healthcare —Nebraska
- $20.73 - $42.55 an hour
- Full-time
- Anatomy knowledge
- Customer service
- Research
- Health insurance
8d
ELIGIBILITY SPECIALIST II - 60066285
The State of Florida —Fort Pierce, FL
- $37,035.96 a year
- Background check
- Management
- Mid-level
11d
Medicaid Fraud Supervisor, Chicago or Oakbrook, 23-E-02
Office of the Illinois Attorney General —Oak Brook, IL
- $80,000 - $110,000 a year
- Full-time
- CPA
- Computer Science
- Research
ELIGIBILITY SPECIALIST II - 60066295
The State of Florida —Riviera Beach, FL
- $37,035.96 a year
- Background check
- Management
- Mid-level
11d
Medicaid Fraud Supervisor, Chicago or Oakbrook, 23-E-02
Illinois Attorney General (IL) —Oak Brook, IL
- $80,000 - $110,000 a year
- Full-time
- Management
- CPA
- Computer Science
Special Investigator
Amerihealth Caritas —Washington, DC
- $75,500 - $102,800 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Analysis skills
- Paid holidays
- Disability insurance
Program Integrity Coordinator
State of North Carolina - Health & Human Services —Wake County, NC
- $52,592 - $92,036 a year
- Full-time
- Remote
- Addiction Medicine
- Research
- Mid-level
- Paid parental leave
- Health insurance
12d
ELIGIBILITY SPECIALIST II - 60059373
The State of Florida —Orlando, FL
- $37,035.96 a year
- Management
- Computer literacy
- Writing skills
MFPAU Analyst
State of Nebraska —Lincoln, NE
- Email
- Background check
- Mid-level
- Office
- Paid time off
14d

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Investigator - Medicaid Fraud Control Unit

Missouri Attorney General -
Jefferson City, MO

Quick Apply

Job Details

Full-time
$51,000 - $55,000 a year

Qualifications

Healthcare financial misconduct investigations
Trial material preparation assistance
Writing skills
Court testimony
Research
Document review
Medicaid

Full Job Description

Investigator
Medicaid Fraud Control Unit ~ Jefferson City

The Office of Attorney General's Medicaid Fraud Control Unit (MFCU) has an opening for an Investigator. The MFCU is an interdisciplinary team dedicated to protecting vulnerable individuals and safeguarding Medicaid's finite resources.

The MFCU utilizes a team-based approach to uncover abuse and neglect of Medicaid recipients and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, physicians, dentists, nurses, and other Medicaid providers. The MFCU holds offenders accountable through criminal prosecution and civil litigation. Investigations often involve multi-agency coordination, detailed document analysis, and preparation for prosecution.

The Investigator's primary duties include conducting interviews, obtaining and analyzing Medicaid claims, reviewing healthcare provider documentation, preparing detailed investigative reports and exhibits, maintaining investigative case files, testifying in court, interfacing with other law enforcement and government agencies, collecting and analyzing evidence, conducting interviews, preparing reports and exhibits to include testimony in courts, and collecting evidence for possible use in civil or criminal proceedings.

Qualified applicants must:

Have good analytical and research skills and a bachelor's degree or equivalent experience;
Write clearly and informatively;
Read and interpret written information;
Maintain confidentiality, strategically plan, prioritize, organize effectively, communicate effectively in writing and orally, and exercise independent judgment;
Work independently or as part of a team;
Review and evaluate allegations of fraud, or abuse/neglect of Medicaid recipients; and
Assist attorneys in case preparation and testify at grand jury and trial as needed.

Teamwork skills are essential to success. The Investigator is part of a team and will be expected to work closely with other investigators and attorneys.

Travel throughout Missouri is required.

Experience using Word and Excel is preferred.

Experience in investigations or audits of health care providers, forensic accounting, or white-collar crime investigations is preferred.

Salary range $51,000-$55,000. Apply online or send resume to: Personnel, Missouri Attorney General's Office, P.O. Box 899, Jefferson City, MO 65102. This position is open until filled. www.ago.mo.gov. EOE.

Quick Apply

Refine Your Search

medicaid fraud control unit jobs

Investigator - Medicaid Fraud Control Unit

Investigator, Medicaid Fraud Control Unit

SME - Medicaid Program Integrity and Claims Audits

Investigator, Special Investigative Unit-must reside in Florida

Senior Investigator, Special Investigations Unit (Aetna SIU)

Eligibility Technician (Eligibility Technician) (4452-12)

Fraud Investigations Manager

Compliance Auditor

Special Investigations Unit Senior Investigator

Medicaid Fraud Supervisor, Springfield, 23-E-40

Medicaid Fraud Supervisor, Springfield, 23-E-40

Investigator, Special Investigative Unit-Nebraska

ELIGIBILITY SPECIALIST II - 60066285

Medicaid Fraud Supervisor, Chicago or Oakbrook, 23-E-02

ELIGIBILITY SPECIALIST II - 60066295

Medicaid Fraud Supervisor, Chicago or Oakbrook, 23-E-02

Special Investigator

Program Integrity Coordinator

ELIGIBILITY SPECIALIST II - 60059373

MFPAU Analyst

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