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Healthcare management Jobs in San Francisco, CA

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Healthcare management • san francisco ca

Last updated: 20 hours ago
  • Promoted
Healthcare Fraud Investigator

Healthcare Fraud Investigator

Contact Government ServicesSan Francisco, CA, US
Full-time
Los Angeles, CA / Remote / Hybrid / San Francisco, CA.Litigation Support / Full Time Hybrid.CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in...Show moreLast updated: 30+ days ago
  • Promoted
Senior Healthcare Analyst

Senior Healthcare Analyst

San Francisco Health PlanSan Francisco, CA, United States
Full-time
Reporting to the Manager, Business Analytics, the Senior Healthcare Analyst will transform data into applicable insights that drive process improvement, financial sustainability, and inform organiz...Show moreLast updated: 30+ days ago
  • Promoted
Senior Healthcare Planner

Senior Healthcare Planner

DGASan Francisco, CA, United States
Full-time
Imagine shaping the future of healthcare delivery! At DGA, we're not just designing buildings; we're envisioning environments that streamline caregivers' workflows and improve outcomes for patients...Show moreLast updated: 30+ days ago
  • Promoted
Healthcare Coordinator

Healthcare Coordinator

Marina Harbor Detox, LLCSan Francisco, CA, US
Full-time
Join our dynamic team at Quadrant Health Group! Marina Harbor Detox, LLC.Quadrant Health Group, is seeking passionate and skilled Client Care Coordinators to join our growing team in San Francisco,...Show moreLast updated: 2 days ago
  • Promoted
Healthcare Advocate - 246509

Healthcare Advocate - 246509

MedixOakland, CA, US
Permanent
Identify and pursue contracting opportunities with health plans, counties, state, and federal entities.Target and establish relationships with organizations where PHG does not currently have partne...Show moreLast updated: 12 days ago
  • Promoted
Healthcare Project Executive

Healthcare Project Executive

RenerisAlameda, CA, United States
Full-time
Bay area construction firm named in the "Best Places to Work" seeks a highly experienced and strategic Healthcare Project Executive with a minimum of 15 years of relevant experience.The ideal candi...Show moreLast updated: 7 days ago
Plant Healthcare Technician

Plant Healthcare Technician

The Davey Tree Expert CompanySan Francisco, California, USA
Full-time +1
San Francisco CA San Francisco CA.Performs fertilization and pest management on trees shrubs and lawns using spray and injection toolsby performing the following duties. Cultivate your career and fe...Show moreLast updated: 20 days ago
  • Promoted
Project Manager IV - Healthcare Technology Management - Clinical Engineering -

Project Manager IV - Healthcare Technology Management - Clinical Engineering -

Kaiser PermanenteBerkeley, CA, US
Full-time
Project Manager Iv - Healthcare Technology Management - Clinical Engineering.Manages large-scale projects from initiation to close-out. Leads the work of project team members by requesting and coord...Show moreLast updated: 1 day ago
  • Promoted
Project Manager IV - Healthcare Technology Management - Clinical Engineering -

Project Manager IV - Healthcare Technology Management - Clinical Engineering -

Veterans StaffingBerkeley, CA, US
Full-time
Project Manager IV - Healthcare Technology Management - Clinical Engineering.Job Summary : Manages large-scale projects from initiation to close-out. Leads the work of project team members by request...Show moreLast updated: 2 days ago
  • Promoted
Healthcare Management Consultant

Healthcare Management Consultant

San Francisco StaffingSan Francisco, CA, US
Full-time
Accenture Song accelerates growth and value for our clients through sustained customer relevance.Our capabilities span ideation to execution : growth, product and experience design; technology and e...Show moreLast updated: 7 days ago
Healthcare Management Analyst

Healthcare Management Analyst

VirtualVocationsSan Francisco, California, United States
Full-time
A company is looking for a Healthcare Care Management Analyst to support Medicaid services through data exchange and care management implementation. Key Responsibilities Support day-to-day operati...Show moreLast updated: 2 days ago
  • Promoted
SVB - Director, Relationship Management - Healthcare Banking

SVB - Director, Relationship Management - Healthcare Banking

First Citizens BancSharesSan Francisco, CA, US
Full-time
Hybrid Role In Healthcare Banking Sector.This is a hybrid role, with the expectation that time working will regularly take place inside and outside of a company office. Together, Silicon Valley Bank...Show moreLast updated: 4 days ago
  • Promoted
Program Manager VI, Strategy Execution - Healthcare Technology Management - Laboratory Equipment

Program Manager VI, Strategy Execution - Healthcare Technology Management - Laboratory Equipment

California StaffingOakland, CA, US
Full-time
Program Manager VI, Strategy Execution - Healthcare Technology Management - Laboratory Equipment.This position can be remote, but you must reside in any of the following states : HI, CA, OR, WA, CO,...Show moreLast updated: 7 days ago
Executive Underwriter, Healthcare Risk Management

Executive Underwriter, Healthcare Risk Management

Liberty Mutual InsuranceSan Francisco, CA, US
Full-time
The Healthcare Risk Management team is a unit within Major Accounts that focuses on mid-sized and large healthcare providers. As part of this specialized unit, you will primarily write Workers' Comp...Show moreLast updated: 2 days ago
  • Promoted
Driver - Healthcare

Driver - Healthcare

TEEMA GroupSan Francisco, CA, US
Full-time
As a Driver, you will play a crucial role in ensuring patients' safe and timely transportation to and from their homes, Day Health Centers, and community appointments.You will uphold the highes...Show moreLast updated: 30+ days ago
  • Promoted
Software Engineer - Healthcare

Software Engineer - Healthcare

Vivo HealthStaffSan Francisco, CA, United States
Full-time +1
Vivo HealthStaff is recruiting for a Software Engineer in San Francisco, California.This is a permanent position with salary and benefits. We are seeking a motivated Software Engineer to join a miss...Show moreLast updated: 30+ days ago
  • Promoted
SVB - Director, Relationship Management - Healthcare Banking

SVB - Director, Relationship Management - Healthcare Banking

First Citizens BankSan Francisco, CA, US
Full-time
This is a hybrid role, with the expectation that time working will regularly take place inside and outside of a company office. Together, Silicon Valley Bank and First Citizens offer you the strengt...Show moreLast updated: 19 days ago
  • Promoted
  • New!
Healthcare Integrations Specialist

Healthcare Integrations Specialist

TrueclaimSan Francisco, CA, United States
Full-time
TrueClaim is the "Shopify for health insurance plans" - our AI-enabled platform makes operating great health plans easier and cheaper than ever before. Thanks to our claims review AI agents, TrueCla...Show moreLast updated: 20 hours ago
  • Promoted
Healthcare Administrative Assistant

Healthcare Administrative Assistant

Skill CorpSan Francisco, CA, United States
Temporary
Our healthcare client is seeking experienced administrative and patient support professionals for a variety of upcoming temporary assignments across departments including Patient Registration, Labo...Show moreLast updated: 1 day ago
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Healthcare Fraud Investigator

Healthcare Fraud Investigator

Contact Government ServicesSan Francisco, CA, US
30+ days ago
Job type
  • Full-time
Job description

Healthcare Fraud Investigator

Los Angeles, CA / Remote / Hybrid / San Francisco, CA

Litigation Support / Full Time Hybrid

CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.

CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.

Responsibilities Will Include :

  • Review, sort, and analyze data using computer software programs such as Microsoft Excel.
  • Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).
  • Develop HCF case referrals including, but not limited to :
  • Ensure that HCF referrals meet agency and USAO standards for litigation.
  • Analyze data for evidence of fraud, waste and abuse.
  • Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.
  • Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.
  • Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc.
  • Assist conducting witness interviews and preparing written summaries.

Qualifications :

  • Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.
  • Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.
  • Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.
  • Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).
  • Communication skills : Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.
  • U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.
  • Experience and expertise in performing the requisite services in Section 3.
  • Must be a US Citizen.
  • Must be able to obtain a favorably adjudicated Public Trust Clearance.
  • Preferred Qualifications :

  • Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.
  • Relevant experience working with a federal or state legal or law enforcement entity.