Job Title: Remote Investigator, Special Investigations Unit - Healthcare Fraud Prevention & Detection

Remote Full-time
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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