Texas Licensed Special Investigations Investigator
A company is looking for a Special Investigation Unit Investigator (Remote in US).
Key Responsibilities
Conducts investigations into fraud, waste, and abuse cases based on preliminary data and tips
Prepares detailed investigation reports and coordinates remedial actions with relevant departments
Collaborates with various departments and external agencies to share findings and support investigations
Required Qualifications and Education
Bachelor's degree in a related field; advanced degree preferred
Previous SIU experience with an insurance carrier or investigative firm required
Minimum of four years of experience in a health care fraud control setting required
National Health Care Anti-Fraud Association certification, Certified Fraud Examiner, or similar designation preferred
Certified Pharmacy Technician designation is strongly preferred
A company is looking for a Special Investigation Unit Investigator (Remote in US).
Key Responsibilities
Conducts investigations into fraud, waste, and abuse cases based on preliminary data and tips
Prepares detailed investigation reports and coordinates remedial actions with relevant departments
Collaborates with various departments and external agencies to share findings and support investigations
Required Qualifications and Education
Bachelor's degree in a related field; advanced degree preferred
Previous SIU experience with an insurance carrier or investigative firm required
Minimum of four years of experience in a health care fraud control setting required
National Health Care Anti-Fraud Association certification, Certified Fraud Examiner, or similar designation preferred
Certified Pharmacy Technician designation is strongly preferred