Los Alamitos, California, United States · On-site
$15/hr–$24/hr
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business in…
Skills: Fraud Investigation, Case Tracking, Data Analysis, Report Writing, Regulatory Compliance
Pomona, California, United States · Hybrid
Work Schedule: 12-15 hours per week; shifts based on operational need of the organization. Occasional weekend and evening hours required; this position is eligible to work a hybrid work schedule. OVERVIEW Associated Stud…
Skills: Graphic Design, Visual Brand Identity, Print Design, Social Media Marketing, Digital Media Design
City of McFarland, California, United States · On-site
Benefits Information Full-time employees will enjoy a competitive benefits package with options for you and your family including: • Paid Time Off • Paid Holidays • 401(k) Matching • Health Insurance …
Skills: Office Operations Management, Clerical Duties, Transcription, Correspondence Writing, Appointment Scheduling
Los Angeles, California, United States · On-site
$108k–$113k/yr
The Staff Attorney provides advice, case review, consultation & professional representation at hearings or courts on issues such as protection orders, family law, immigration, housing/tenancy, public benefits, and employ…
Skills: Legal Representation, Case Management, Trauma-Informed Care, Legal Research, Document Preparation
Irvine, California, United States · Hybrid
Who We Are Founded in 1965, UC Irvine is a member of the prestigious Association of American Universities and is ranked among the nation’s top 10 public universities by U.S. News & World Report. The campus has prod…
Skills: Procurement, Vendor Management, Budgeting, Compliance, Organization
San Francisco, California, United States · On-site
$145k–$165k/yr
Via is on a mission to create public transportation systems that provide far greater access to jobs, healthcare, and education. Our platform serves as the technology backbone for modern transit networks, transforming ant…
Skills: Stakeholder Management, Customer Success, Contract Negotiation, Data Analysis, Strategic Planning
Chantilly, Hauts-de-France, France · On-site
Check out this new opportunity! Traffic Modeling Systems Engineer Scottsdale, AZ / Huntsville, AL / Chantilly, VA Pay Estimated: $87.87 - $92.87/Hour U.S. Citizenship is required by Federal Law Traffic Modeling System En…
Skills: Systems Engineering, Traffic Modeling, Satellite Constellations, RF Communication Protocols, Packet Prioritization
Redlands, California, United States · On-site
$120k–$130k/yr
Position Code: 7950 DEPARTMENT/ADMINISTRATION: School of Education POSITION: Administrative, Exempt (12 months), Full-time (40 Hours) SALARY RANGE: $120,000-$130,000 HIRING RANGE: Anticipated hiring range is near or at t…
Skills: Strategic Leadership, Partnership Development, Program Coordination, Academic Planning, Relationship Building
El Segundo, California, United States · On-site
SAIC's Horizon program is seeking a Program Manager to join the U.S. Space Force team delivering warfighter capability via the Space Systems Command's Space Combat Power portfolios. The successful candidate will be a par…
Skills: Program Management, Strategic Execution, Acquisition Strategies, Risk Management, Cost Management
San Francisco, California, United States · On-site
Job Announcement Program Manager - Dolores Shelter Program Position: Dolores Shelter Program Manager Site/Program: Dolores Shelter Program Reports to: Director of Housing & Shelter Programs Compensation: $75,000 annual s…
Skills: Program Management, Staff Supervision, Budget Management, Government Contract Management, Conflict Mediation
San Diego, California, United States · Hybrid
$80k–$85k/yr
*** An active Public Trust or the ability to obtain a Public Trust is required for consideration. *** The Public Health Advisor, Port Health Protection, provides critical programmatic, analytical, and operational support…
Skills: Disease Surveillance, Project Management, Stakeholder Coordination, Public Health Program Implementation, Data Visualization
Sacramento, California, United States · Hybrid
$75k–$90k/yr
About Umoja The Umoja Community Education Foundation (Umoja) is a Nonprofit 501(c)3 organization dedicated to a community of educators and learners committed to the academic success, personal growth, and self-actualizati…
Skills: Relationship Building, Program Implementation, Training Facilitation, Data Analysis, Public Speaking
San Diego, California, United States · Remote Solely
SAIC is seeking an experienced System Administrator in support of a managed services engagement for a major Public Sector account. The successful candidate will join a team of Administrators responsible for: Managing our…
Skills: Azure Administration, Windows Server, Linux Server, VMWare, Active Directory
San Luis Obispo, California, United States · On-site
$112k–$140k/yr
At Zone 5 Technologies, we're redefining what's possible in unmanned aircraft systems. Our team of engineers and innovators is developing cutting-edge autonomous solutions that push the boundaries of UAS technology - sol…
Skills: Configuration Management, Change Governance, PLM Systems, AS9100, EIA-649
Irvine, California, United States · On-site
Who We Are Founded in 1965, UC Irvine is a member of the prestigious Association of American Universities and is ranked among the nation’s top 10 public universities by U.S. News & World Report. The campus has prod…
Skills: Multicultural Counseling, Program Development, Crisis Intervention, Conflict Management, Student Advising
Fort Irwin, California, United States · On-site
RT/R2PC, General Clerk II Strategic Resources, Inc. (SRI) is an international, ISO 9001/20000/27001 Certified, CMMI Level 3 Rated full-service provider with more than 38 years’ experience in the Federal, Military, …
Skills: Administrative Support, Logistics, Property Accountability, Record Keeping, Microsoft Office
Tempe, Arizona, United States · On-site
About us One team. Global challenges. Infinite opportunities. At Viasat, we’re on a mission to deliver connections with the capacity to change the world. For more than 35 years, Viasat has helped shape how consumer…
Skills: Program Management, Earned Value Management, Risk Management, Subcontractor Management, Budgeting
Sacramento, California, United States · On-site
The Salvation Army Mission Statement: The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love for …
Skills: Donor Communications, Project Coordination, CRM Management, Fundraising, Event Planning
Sacramento, California, United States · On-site
The Salvation Army Mission Statement: The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love for …
Skills: Fundraising, Event Planning, Donor Communications, Project Coordination, CRM Management
Karlovy Vary, Northwest, Czechia · On-site
About us One team. Global challenges. Infinite opportunities. At Viasat, we’re on a mission to deliver connections with the capacity to change the world. For more than 35 years, Viasat has helped shape how consumer…
Skills: Program Management, Earned Value Management, Risk Management, Subcontractor Management, Proposal Development
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Performs in-depth evaluations of complaints and investigative leads to identify potential fraud in Medicare and Medicaid programs. Responsible for screening leads, maintaining case tracking systems, and preparing comprehensive intake reports for lead investigators.
Requires a minimum of a High School Diploma or GED. Candidates should have 2 to 4 years of experience, with 5 to 7 years preferred.
Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities.
Best People, Best Solutions, Best Results
Job Summary:
Performs in-depth evaluation and makes field level judgments related to complaints and investigative leads of potential fraud investigations (e.g. Medicare and/or Medicaid) that meet established criteria for referral to the appropriate agency(ies) for administrative action or law enforcement.
Essential Functions:
Level of Supervision Received:
Under close supervision, works closely with manager to prioritize efforts.
Education (can be substituted for experience):
Minimum High School Diploma or GED required
Work Experience (can be substituted for education):
2 - 4 years of experience required; 5 - 7 years preferred
Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.
Qlarant is a drug-free workplace. All offers of employment are contingent upon successful completion of pre-employment background and drug screens.
Best People. Best Solutions. Best Results.®
For over 50 years, our history has been rooted in commitment to quality improvement for organizations — and quality of life for the people they serve. We began as Delmarva Foundation for Medical Care in 1973 on Maryland’s Eastern Shore as one of the country’s first quality review organizations for the Centers for Medicare and Medicaid. Through the decades, we created entities that became nationally known, including Delmarva Foundation, Health Integrity, and Quality Health Strategies. Today, we’ve brought together these extensive resources and the expertise of more than 500 professionals under one name — Qlarant — serving some of our nation’s most important programs in health, human services, government and insurance & financial services. Qlarant has a strong commitment to protecting the integrity of national and state health care systems in Medicare, Medicaid, and the private sector. In addition, The Qlarant Foundation issues annual grant awards to various programs that provide programs to underserved communities. Qlarant offers a broad range of innovative services: we’re proud to deliver our solutions for Quality Improvement; Fraud, Waste, & Abuse; and Data Sciences & Technology. Our Real-time Predictive Modeling and Data Analytics tools sift through billions of claims and public criminal records to detect aberrant trends and alert users for early investigative and audit actions with high accuracy and performance. We also provide quality review programs, auditing, training, and have an in-house call center ready to meet your needs. Visit www.qlarant.com for further information.
Offices: 28464 Marlboro Ave, Easton, Maryland 21601, US · 14025 Riveredge Dr, Tampa, Florida 33637, US · 2039 Centre Pointe Blvd., Suite 202, Tallahassee, FL 32308, US · 14643 Dallas Pkwy, Dallas, Texas 75254, US · 2605 Lord Baltimore Dr., Suite E, Baltimore, MD 21244, US
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