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49 Medical Fraud Jobs in Houston, TX

Harris County District Attorney's Office

Fraud Examiner

Harris County District Attorney's Office Houston, TX
  • Pay
    $6,495 Monthly
  • Type
    Full-Time

FRAUD EXAMINER Perform independent financial fraud analysis, investigations and evaluation of facts ... Medical * Dental * Vision * Wellness * Life Insurance * Long-term disability * Employee Assistance ...

  • Type
    Full-Time

Investigate medium to highly complex cases of fraud, waste and abuse * Detect fraudulent activity ... General knowledge of medical benefits, specialty benefits and pharmacy benefit * General knowledge ...

J3 Global

Medical Coding and Billing

J3 Global Houston, TX
  • Type
    Contractor

Investigate insurance fraud and report if found. Qualifications: Education: High School or ... Certified Professional Coder, Medical Billing and Coding Certificate, Certified Coding Associate ...

  • Type
    Full-Time

Utilizes eCapture for eDiscovery processing ESI for civil fraud cases as appropriate + Utilizes ... medical condition including genetic characteristics or information, veteran status, or mental or ...

Texas State Government

TDI- Sergeant

Texas State Government Houston, TX
  • Type
    Full-Time

Free comprehensive medical insurance for full-time employees, and the state pays 50% of the premium ... Conducts criminal investigations related to insurance fraud. * Prepares affidavits and subpoenas

Texas Children's Hospital

Spec Inv Unit Investigator Sr

Texas Children's Hospital Bellaire, TX

... for a medical or religious exemption. * H.S. Diploma or GED * 6 years' experience in claims examination, adjusting, fraud detection, or investigations preferably in a healthcare environment

Texas State Government

Auditor III-V (22-0993)

Texas State Government Houston, TX
  • Type
    Full-Time

... the Medicaid Fraud Control Unit (MFCU) of the Office of the Attorney General. Work involves ... and medical records Documents audits/investigations by preparing detailed audit/criminal ...

  • Type
    Full-Time

Proactively identifies potential acts of theft and fraud by observing associate and customer ... We offer a competitive benefits package including medical/dental/vision, term life insurance, paid ...

  • Type
    Full-Time

Drive key performance metrics such as fraud losses, false positives, and operational efficiency ... related medical conditions), sexual orientation, gender, gender identity, gender expression ...

  • Type
    Full-Time

Observes customer's and contractor's (CCTV/floor) activities to detect theft, fraud or suspicious ... If eligible, we offer a competitive benefits package including medical/dental/vision, term life ...

Texas State Job Bank

TDI- Sergeant

Texas State Job Bank Houston, TX
  • Type
    Full-Time

Free comprehensive medical insurance for full-time employees, and the state pays 50% of the premium ... Fraud Prosecutor assigned to District Attorneys Office in investigating assigned cases in ...

0703 Hillrom - United States USA

Analysis Technician

0703 Hillrom - United States USA Houston, TX
  • Type
    Full-Time

For over 85 years, we have pioneered significant medical innovations that transform healthcare. ... Recruitment Fraud Notice Baxter has discovered incidents of employment scams, where fraudulent ...

  • Type
    Full-Time

... fraud detection, search ranking, text/sentiment classification, collaborative filtering ... related medical conditions), sexual orientation, gender, gender identity, gender expression ...

REFUGEE SERVICES OF TEXAS INC

STEP Case Manager

REFUGEE SERVICES OF TEXAS INC Houston, TX
  • Type
    Full-Time

... dating violence, visa fraud, wage theft, and familial violence where there are elements of ... medical care, dental care, mental health referrals, interpreter/translator services, substance ...

Burlington Stores

Asset Protection Field Investigator

Burlington Stores Houston, TX
  • Type
    Full-Time

Identify opportunities to partner to mitigate theft and fraud. * Work cross-functionally with Asset ... Burlington's benefits package includes medical, dental and vision coverage including life and ...

PAE Inc

Forensic Accountant Level I

PAE Inc Houston, TX
  • Type
    Full-Time

... and trade fraud); Bank Secrecy Act (BSA) data; Asset Forfeiture Tracking and Retrieval System ... medical condition including genetic characteristics or information, veteran status, or mental or ...

CoventBridge Group

Investigator - Network Services

CoventBridge Group Houston, TX
  • Type
    Full-Time

This includes medical, dental, vision, life, long-term and short-term disability, monthly vehicle ... Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop ...

Apex Health Solutions

Payment Integrity Analyst

Apex Health Solutions Houston, TX
  • Type
    Full-Time

... medical/pharmacy claims. Executes Payment Integrity tasks such as claims payment and recovery ... Uses data analytic expertise to assist in the development of enhanced payment integrity, fraud ...

  • Type
    Full-Time

... fraud that is taking place in the company and report such to the appropriate parties Accomplish ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...

City of Pasadena

Financial Assistant Housing Administrator

City of Pasadena Pasadena, TX
  • Type
    Full-Time

Monitor the collection of any fraud recovery payments and reporting. Perform compliance reviews to ... Employee-only medical insurance starts as low as $15 per month and the most expensive Employee ...