Special Investigation Unit Investigator III L.A. Care Health PlanSpecial Investigation Unit Investigator IIILos Angeles, CAThe Special Investigation Unit Investigator III performs in-depth evaluation of potential fraud & abuse cases and develops complex investigations that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for fraud, waste & abuse. claims history, provider files) to determine provider billing patterns and detect potential fraudulent or abusive billing practices or vulnerabilities in Medi-Cal/Medicare policies and initiates appropriate action.
Medical Clerk The Siskin GroupMedical ClerkInglewood, CAFull timeThis position plays a key role in ensuring timely and accurate submission of medical documentation required for disability leave claims, while maintaining strict confidentiality and compliance with clinic policies and healthcare regulations. Allied Health Solutions Medical Group, an outpatient medical clinic providing primary care services to patients, is seeking a Medical Clerk-EDD Claims Processor.
Staff Accountant TEEMA GroupStaff AccountantCovina, CARemote$30–$35You will balance core corporate accounting tasks—such as invoice coding, budget support, and expense report auditing—with specialized healthcare financial coordination, including claims verification and government revenue reconciliation. Budgeting Processes: Provide data gathering and analytical support for the annual corporate budgeting process and participate in monthly budget-to-actual variance reviews.
Lead SIU Investigator Centene Corporation GroupLead SIU InvestigatorCARemote$70,100–$126,200 / yearEducation/Experience: Bachelor's Degree in related field; or Associate's degree with 6 years related experience; or High School Diploma/GED with 7 years related experience. Provides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity.
NewSIU Investigator Centene Corporation GroupSIU InvestigatorCA$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
SIU Investigator Allied UniversalSIU InvestigatorLos Angeles, California$30–$38 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Fraud Detection Analyst, Senior Blue Cross and Blue Shield AssociationFraud Detection Analyst, SeniorWoodland Hills, CAIn this role, you will partner closely with auditors, compliance partners, business leaders, data analytics teams, legal, human resources, finance, claims, procurement, and technology stakeholders to identify fraud risk scenarios, evaluate control design and operating effectiveness, advise on anti-fraud control enhancements, and develop practical detection strategies that protect the company, members, providers, employees, and other stakeholders. The Internal Audit Fraud Advisor will serve as a fraud subject matter expert supporting internal audits, proactive fraud detection activities, and business advisory efforts focused on preventing, identifying, and remediating fraud risk across the enterprise.
Advanced Practitioner Providers 22nd Century Technologies, Inc.Advanced Practitioner ProvidersLos Angeles, CASpecial knowledge, skills, and abilities: " Analytical ability necessary to evaluate and determine the health status of the patient and implement proper care; " Interpersonal skills necessary to interview, teach, and counsel patients and interact with clients/employers, " A comprehensive understanding of outpatient adult medicine, patient care procedures, medical protocols, and testing procedures is necessary. " Work collaboratively with patients and their PCP/Specialist to facilitate early diagnosis and management of acute and chronic health problems.
Staff Accountant Cala Sourcing Solutions LLCStaff AccountantCovina, CARemote$30–$35The ideal candidate is highly organized, accurate, and comfortable managing multiple financial priorities independently in a fast-paced, compliance-focused environment. Review corporate and clinical invoices, determine the appropriate processing method, and code expenses to the correct programs and accounts.
SIU Clinical Healthcare Fraud Investigator III (ATL) The Intersect GroupSIU Clinical Healthcare Fraud Investigator III (ATL)Los Angeles, CARemote$45–$55 / hourThe SIU Clinical Healthcare Fraud Investigator III leads complex, high impact investigations into fraud, waste, and abuse across multiple healthcare service lines. The Intersect Group partners with mission focused healthcare organizations dedicated to improving access, quality, and equity of care for large and diverse member populations.
Special Investigation Unit Investigator III (ATL) The Intersect GroupSpecial Investigation Unit Investigator III (ATL)Los Angeles, CARemote$42–$55 / hourThe Special Investigation Unit Investigator III plays a critical role in protecting healthcare program integrity through the investigation of complex fraud, waste, and abuse cases. You will analyze data, conduct detailed investigations, and collaborate with internal teams and external agencies to identify suspicious activity and support enforcement actions.
Special Investigation Unit Investigator II (ATL) The Intersect GroupSpecial Investigation Unit Investigator II (ATL)Los Angeles, CARemote$43–$48 / hourThis position plays an important role in identifying risk patterns, supporting enforcement actions, and safeguarding healthcare program integrity through data driven insights and detailed case development. Our client operates one of the largest public health programs in the country, delivering essential services to millions while maintaining a strong focus on compliance, integrity, and accountability.
Technical Assistant Sunrise Systems IncTechnical AssistantLos Angeles, CA$20–$22 / hourProficient computer skills and extensive knowledge of the Microsoft suite of Office products, including Outlook (use templates that are provided), Word (utilizing templates), Excel (data entry), and PowerPoint (basic creation of slide deck); knowledge of state EDI systems and/or familiarity with CA Workers Compensation terminology are a plus. Summary: This worker will be assisting Lost Time Examiners with benefit notices, settlement documents, requesting records, and indemnity payments.
FORENSIC PATHOLOGIST (PHYSICIAN SPECIALIST) Los Angeles CountyFORENSIC PATHOLOGIST (PHYSICIAN SPECIALIST)Los Angeles, CA$20,968.42–$28,112.58 / yearVeteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions. Please add the following ealcazar@hr.lacounty.gov; info@governmentjobs.com; talentcentral@shl.com; noreply@proctoru.com; donot-reply@amcatmail.com to your email address and list of approved senders to prevent email notifications from being filtered as spam/junk/clutter email.
Patent Scientist – Physics Knobbe Martens Olson & Bear LLPPatent Scientist – PhysicsCA$125,000–$170,000 / yearTherefore, candidates will learn about a variety of new technologies, learn to identify inventive features, learn to describe the inventions, and work with the United States Patent and Trademark Office ("USPTO") to allow a patent for the technology. Education and Experience: A Bachelor of Science (BS or BSc) degree in physics, applied physics, engineering physics or related engineering disciplines with a strong understanding of solid-state physics including semiconductor physics.
Deputy Sheriff-Lateral AAlusionDeputy Sheriff-LateralLos Angeles, CaliforniaIncumbents perform progressively responsible and diverse law enforcement duties such as supervising, observing, guarding, and transporting inmates; serving civil and criminal process; securing and maintaining order within courtrooms; patrolling an assigned area in a patrol car; investigating, preventing and suppressing crime; and apprehending public offenders. Incumbents are assigned to fixed posts or designated patrol areas throughout the unincorporated area of the County and in contract cities and perform either: (1) inmate custody work at a correctional facility; security and support services at a court facility; or (2) law enforcement work at a Sheriff's patrol station, specialized unit, or other non-custodial assignment.
Senior Auditor CONTACT GOVERNMENT SERVICESSenior AuditorLos Angeles, CA$80,000–$150,000 / yearAnalyze and calculate ability to pay settlements and judgments, including analyzing debt covenants, borrowing capacity, adjusted earnings and earnings per share, financial ratios, accounts receivable and accounts payable, aging schedules, tax considerations, assessing collectability, and developing payment terms and schedules. CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex.
Senior Auditor Contact Government Services LLCSenior AuditorLos Angeles, CA$80,000–$150,000 / yearAnalyze and calculate ability to pay settlements and judgments, including analyzing debt covenants, borrowing capacity, adjusted earnings, and earnings per share financial ratios, accounts receivable and accounts payable aging schedules, tax considerations, assessing collectability, and developing payment terms and schedules. CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex.
Technician, Facility Services, Exterior Services-DOT WalmartTechnician, Facility Services, Exterior Services-DOTLong Beach, California$23–$42 / hourPerforms seasonal exterior maintenance activities, including snow and ice management, by operating snow removal equipment, applying de?icingmaterials, clearing walkways, drives, and exterior areas, and supporting winter preparedness and response activities to maintain safe facilityconditions. Gathers capital expenditures lists and develops scopes of work to update existing assets in assigned facilities, including landscaping, snow events (pre-salt or pushing snow), case cleaning on a seasonal schedule, shopping cart PM and service on a seasonal schedule.
Special Investigation Unit Investigator III (PHX AND DALLAS) The Intersect GroupSpecial Investigation Unit Investigator III (PHX AND DALLAS)Los Angeles, CARemote$40–$50 / hourThis senior SIU role handles high?impact cases and serves as a subject matter expert, mentor, and audit lead. Join the nations largest publicly operated health plan to lead complex healthcare fraud, waste, and abuse investigations across Medi?