Healthcare Fraud Investigator

📋 Description

• Conduct fraud investigations and audits
• Analyze claims and investigative evidence
• Document findings and recommend actions
• Develop evidence packages
• Conduct fieldwork and interviews
• Respond to legal and regulatory requests

🎯 Requirements

• At least three years of experience in health insurance investigations, auditing, or a closely
• Strong ability to evaluate complex information, identify inconsistencies and suspicious activity
• Familiarity with healthcare claims, provider investigations, fraud detection methods, auditing
• Excellent communication skills, including the ability to prepare detailed investigative reports
• Working knowledge of Microsoft Excel, Access, and Word for analyzing information, organizing case
• A bachelor's degree in criminal justice or a related discipline is preferred

🎁 Benefits

• Competitive annual salary: Expected base salary between $68,300 and $113,900
• Annual bonus opportunity
• Remote flexibility
• Comprehensive healthcare coverage
• Retirement savings: 401(k)
• Life insurance