L.A. Care Health Plan in Los Angeles, CA seeks a Lead Special Investigations Unit Investigator to provide oversight within the SIU, guide provider training communications, and manage fraud data analysis, data mining, and case loads including interviews and report writing. The role conducts independent investigations of suspected fraud, participates in hearings and appeals, coordinates with law enforcement, and leads the CMS, DHCS and DOJ referrals.

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Level

Manager L7

Location

Los Angeles, CA

Occupation

Fraud Examiners, Investigators and Analysts

Industry

Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors

Posted

2 days ago

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