Healthcare Fraud Investigator

Job Summary

A company is looking for a SIU Investigator to conduct investigations into healthcare fraud, waste, and abuse.

Key Responsibilities

• Lead complex investigations into allegations of healthcare fraud, waste, and abuse
• Utilize data mining and analysis techniques to identify irregularities in healthcare transactions
• Serve as a subject matter expert and provide guidance to other investigators

Required Qualifications

• Bachelor's Degree in Business, Criminal Justice, Healthcare, or related field, or equivalent experience
• Minimum of 3 years of experience in health insurance fraud investigation, particularly with Medicare and/or Medicaid
• Experience with data analysis techniques
• Integrity and a detail-oriented approach to investigations
• Ability to manage multiple investigations independently and collaboratively