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Fraud Investigator
A company is looking for an Investigator for the Specialist Investigations Unit. Key Responsibilities Perform target claim audits and distribute audit reports as required Conduct investigations including data analysis and provider office inspections Communicate audit findings to the Special Investigations Unit and relevant regulatory entities Required Qualifications and Education Bachelor's degree preferred 1-2 years of experience in FWA investigating in a healthcare operation Knowledge of corporate investigative practices and medical terminology Leadership skills to effectively communicate with staff and regulatory representatives Preferred 3-5 years of experience in FWA investigating in a healthcare operation
A company is looking for an Investigator for the Specialist Investigations Unit.
Key Responsibilities
Perform target claim audits and distribute audit reports as required
Conduct investigations including data analysis and provider office inspections
Communicate audit findings to the Special Investigations Unit and relevant regulatory entities
Required Qualifications and Education
Bachelor's degree preferred
1-2 years of experience in FWA investigating in a healthcare operation
Knowledge of corporate investigative practices and medical terminology
Leadership skills to effectively communicate with staff and regulatory representatives
Preferred 3-5 years of experience in FWA investigating in a healthcare operation
