Director, Compliance on Special Investigations Unit and Fraud, Waste and Abuse - Los Angeles, CA
1 month ago

Job summary
The Director Compliance on Special Investigations Unit and Fraud Waste and Abuse is responsible for directing L.A. Care Health Plan's enterprise special investigations unit SIU and FWA program.Responsibilities
- Lead L.A. Care's Special Investigations Unit SIU in overseeing the internal and external investigations into fraud waste abuse and compliance violations.
Job description
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.
Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.
Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Access all high-level positions and get the job of your dreams.
Similar jobs
division chief, auditor-controller
1 week ago
This is a senior management-level position with an executive-level career track. The Division Chief of the Office of County Investigations (OCI) leads a team of professional staff in administering the Los Angeles County Fraud, Waste, and Abuse Hotline and conducting the most comp ...
The Special Investigation Unit Clinical Healthcare Fraud Investigator III leads complex investigations into suspected healthcare fraud waste and abuse across all of L.A. · Care's lines of business This position independently manages full-cycle investigations from intake through c ...
Sr. Investigator
1 week ago
We are looking for a dedicated Senior Investigator specializing in Fraud, Waste, and Abuse to join our team on a long-term contract basis. · Collaborate with the risk management department to address open and pending investigations. · Develop and execute plans to review and prior ...
Director of Compliance
1 month ago
We are hiring a Director of Compliance to build and mature core elements of Rula's enterprise Compliance Program. · ...
The Special Investigation Unit Clinical Healthcare Fraud Investigator III leads complex investigations into suspected healthcare fraud, · waste, and abuse across all of L.A. Care's lines of business. · This position independently manages full-cycle investigations from intake thro ...
Sr. Investigator
1 week ago
We are looking for a dedicated Senior Investigator specializing in Fraud Waste and Abuse. · Collaborate with the risk management department to address open and pending investigations ensuring timely resolution. · Develop and execute plans to review and prioritize pending claims b ...
The Special Investigation Unit Clinical Healthcare Fraud Investigator III leads complex investigations into suspected healthcare fraud, waste, and abuse across all of L.A. Care's lines of business. · ...
Director of Compliance
4 weeks ago
We are hiring a Director of Compliance to build and mature core elements of Rula's enterprise Compliance Program. · ...
The Special Investigation Unit Clinical Healthcare Fraud Investigator III leads complex investigations into suspected healthcare fraud, waste, and abuse across all of L.A. Care's lines of business. · Conducts complex clinical investigations involving provider, member, or vendor m ...
Experienced Senior Associate
1 week ago
The Production Supervisor within Government Services leads a team that performs real-time analysis and review of extensive documentation required by federal regulations. · The Supervisor must be a critical thinker who seeks input from their team and challenges the status quo. · T ...
Investigator
5 days ago
The Investigator will examine allegations of irregularities and fraud in connection with District programs. · ...
SUD Counselor, MLK BHC Residential
1 month ago
The Substance Use Disorder (SUD) Counselor I is an integral part of an interdisciplinary team that supports our clients through assessment of their needs and strengths in support of their health and recovery. · Facilitate group counseling sessions and community meetings. · ...
SUD Counselor
1 month ago
The SUD Counselor I is an integral part of an interdisciplinary team that supports our clients through assessment of their needs and strengths in support of their health and recovery. This in-person role involves providing counseling in both individual and group settings, deliver ...
Clinical Provider Auditor II
3 days ago
The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.This role requires associates to be in-office - 2 days per week. · Please note that per our policy on hybrid/virtual work,Alternate ...
Licensed Vocational Nurse
1 month ago
The Licensed Vocational Nurse (LVN) assesses and monitors clients admitted for Residential and Withdrawal Management Programs. · ...
Ambassador
6 days ago
+Ambassadors are an integral part of our team and help ensure the safety of guest and stations. · + · Cultivate a meaningful relationship with each guest in the local neighborhood. · Collect building trash daily placing it in approved container and place in designated collection ...
Registered Nurse
1 month ago
The primary responsibility of your job position is to supervise the day-to-day nursing activities of the facility during your tour of duty. · Such supervision must be accordance with current federal, state, and local standards, guidelines and regulations that govern the facility ...
Experienced Senior Associate
1 week ago
The Production Supervisor within Government Services leads a team that performs real-time analysis and review of extensive documentation required by federal regulations. · HS Diploma or GED, required · Associate's or Bachelor's, preferred · ...
Experienced Senior Associate
1 week ago
The Production Supervisor leads a team that performs real-time analysis and review of extensive documentation required by federal regulations. · ...
Plant Manager
1 week ago
Oversee the day-to-day operations of the production plant ensuring production schedules are met and products are manufactured to the highest quality standards monitor and optimize production processes to improve efficiency reduce waste and maintain consistent product quality. · ...