Nebraska Licensed Senior Investigator
A company is looking for a Senior Investigator to work remotely in Nebraska. Key Responsibilities Gather and analyze data to determine provider behavior and potential fraud schemes Conduct confidential investigations and document findings in compliance with laws and regulations Collaborate with external sources and conduct provider audits to gather necessary information Required Qualifications 5+ years of experience in Fraud, Waste, and Abuse (FWA) or Special Investigations Unit (SIU) 2+ years of experience in an investigative role within healthcare claims or managed care 1+ years of knowledge or experience with behavioral health codes and service delivery Intermediate proficiency in MS Excel and MS Word Must reside in Nebraska
