Remote Medicaid Fraud & Investigations Specialist

Pplfirst · Workfromhome, United States

Public Partnerships LLC is seeking a Fraud Audit & Investigations Analyst to lead investigations into fraud, waste, and abuse within Medicaid programs. You will audit case files, prepare regulator-ready materials, and coordinate responses to RFIs from OMIG, MFCUs, and health plans.

Ideal candidates have 5–7 years across LHCSA, MCO/health plan, or state regulatory Medicaid roles, with strong documentation skills and ability to work remotely with occasional travel.