Fraud Investigator

• Conduct complex criminal and civil investigations into allegations of fraud and abuse in the Medicaid program.
• Review complaints against providers and access Medicaid claims for data analysis.
• Research program rules and regulations and develop investigative plans.
• Analyze financial records and review medical records.
• Interview witnesses and conduct surveillance.
• Serve subpoenas, help execute search warrants, and draft investigative reports and memos.
• Collect and secure evidence and conduct public records searches.
• Serve as a witness in criminal and civil proceedings.
• Perform other investigative tasks necessary to root out fraud, waste, and abuse.

Investigator conducting fraud investigations within Medicaid Fraud Division

Investigator I, Investigator II, Investigator III

Investigator conducting complex investigations into Medicaid fraud and healthcare abuse in Boston, Massachusetts. Reviewing complaints, analyzing data, and performing investigative tasks as part of a hybrid team.

Fraud Investigator jobs in Massachusetts

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Investigator I, Investigator II, Investigator III