Job Description:
We're seeking a highly skilled and experienced Investigator to join our Special Investigations Unit, where you'll play a critical role in preventing, detecting, and investigating healthcare fraud, waste, and abuse. As a key member of our team, you'll utilize your expertise to conduct thorough investigations, collaborate with law enforcement agencies, and develop strategies to minimize losses and promote a culture of compliance.
Key Responsibilities:
- Conduct comprehensive investigations into suspected healthcare fraud, waste, and abuse, utilizing advanced analytical and research skills
- Communicate effectively with federal, state, and local law enforcement agencies to facilitate the prosecution of healthcare fraud cases
- Develop and implement controls to prevent and detect fraudulent activities, ensuring compliance with regulatory requirements
- Provide educational programs and training to promote awareness and deterrence of healthcare fraud, waste, and abuse
- Maintain accurate and detailed records of investigations, including documentation of case activity and evidence
Requirements:
- 1-3 years of investigative experience in healthcare fraud, waste, and abuse, with strong knowledge of medical terminology, CPT/HCPCS coding, and healthcare claims investigation
- Advanced skills in Microsoft Excel, with proficiency in Word, MS Outlook, and database search tools
- Strong analytical, research, and communication skills, with the ability to interact with diverse groups and provide timely assistance
- College degree in Criminal Justice or a related field, with certifications such as AHFI, CFE, or Certified Professional Coder preferred
What We Offer:
- Competitive salary range: $43,888.00 - $76,500.00, with opportunities for bonuses, commissions, and short-term incentives
- Comprehensive benefits package, including medical, dental, and vision coverage, 401(k) retirement savings plan, and Employee Stock Purchase Plan
- Opportunities for professional growth and development, with access to training programs, education assistance, and career advancement opportunities
- Flexible work arrangements, with the ability to work from home and collaborate with a remote team
How to Apply:
Ready to join our team and make a difference in the fight against healthcare fraud? Click the "Apply Now" button to submit your application and take the first step towards a rewarding career with our organization.
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