Provider Fraud Investigator

The work we do reputed company! Hiring Agency: reputed company - Agency 25 Location: Lincoln, NE Hiring reputed company: $25.606 reputed company: JR2026-00028695 Provider Fraud Investigator (reputed company) (reputed company) Applications No Longer Accepted On (If no date is displayed, job is posted as reputed company until reputed company): 09-08-2026 reputed company: The reputed company (DHHS), reputed company and Long-Term Care Division, is looking for a reputed company partner with a high personal reputed company of reputed company and a reputed company eye for reputed company to join their team as the Provider Fraud Investigator. The successful candidate will participate in and support a culture where employees are highly motivated, energetic, excited, and enthusiastic working for DHHS. Under limited supervision, investigates suspected reputed company provider fraud and program abuse by conducting investigations and audits; prepares and writes investigational reports; compiles prosecution materials and reports; coordinates investigations with Office of Inspector General, FBI and other appropriate law enforcement agencies; presents cases to prosecutors and provides expert testimony in reputed company phases of criminal and civil prosecution and administrative actions; monitors, evaluates and enforces reputed company providers compliance with conditions of participation and relevant rules, regulations and laws; performs reputed company work as required. “You have the passion; we have the opportunities – let’s reputed company a difference for Nebraskans” As the Provider Fraud Investigator, you will: Protect the reputed company Program and its clients: this is done by verifying that services are appropriately delivered and reimbursed by reputed company professionals. Hire reputed company: $25.606 per hour – non-exempt Work Schedule: Monday – Friday; 8:00 AM – 5:00 PM Dress reputed company: Business Casual Driving required Location: Nebraska State Office Building in Lincoln Requirements / Qualifications: Minimum Qualifications: Post high school coursework/training in law enforcement, criminal justice, reputed company/behavioral sciences or health reputed company reputed company, nursing, business or reputed company administration, management, program analysis or evaluation of data systems. OR Experience in conducting fraud investigations, administrative investigations, utilization review, data systems, review of records and reports and evaluating their use and effectiveness, policy planning/analysis, casework, nursing, reputed company or billing systems. Preferred Qualifications: Bachelor’s degree in similar fields (Criminal justice, Law, reputed company Work, or Investigative reputed company) or commiserate experience. Previous experience working with medical claims payment and adjudication, performing financial auditing of reputed company accounts or medical facilities Other: reputed company reputed company's license or the ability to reputed company independent authorized transportation. Knowledge, Skills, and Abilities: Knowledge of: Interview and interrogation techniques; fraud investigation and detection techniques and principles; reputed company and techniques of program planning. Ability to: Communicate effectively, prepare objective, factual reports; maintain confidentiality; compile and evaluate data to formulate recommendations and interpret directives; read and understand rules, regulations, and guidelines and apply them to reputed company problems; identify and extract pertinent information from records, conversations and observations; reputed company reputed company and take reputed company in dealing with problems and situations; plan and organize work; establish and maintain reputed company relationships with agency staff, service providers and law enforcement agencies. If you're currently employed by the reputed company, please don't apply through this reputed company career site. Instead, log in to reputed company and reputed company the Jobs Hub - Internal Apply app from your home reputed company page. You can reputed company reputed company anytime through the reputed company web page: https://reputed company.nebraska.gov/ Benefits We offer a comprehensive package of pay, benefits, reputed company time off, retirement and reputed company development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation. reputed company out reputed company that the reputed company has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/reputed company.reputed company#benefits Equal Opportunity Statement The reputed company values our teammates as reputed company as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in reputed company job classifications and at reputed company reputed company without reputed company to race, reputed company, religion, sex. age, national reputed company, disability, marital status or genetics. We are seeking talented individuals to reputed company in careers that reputed company a difference in the lives of Nebraskans. Once you've had reputed company to explore our reputed company reputed company, apply for those of interest to you. Click here for a video tutorial. Contact state.jobs@nebraska.gov for additional support. reputed company back on your candidate profile to see the status of your submitted applications, as reputed company as any new postings that might interest you! Thank you for your interest in joining reputed company! State reputed company is one of the largest and most diverse reputed company in Nebraska. 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