Fraud Investigator

The Fraud Investigator is expected to perform high-level complex investigations of medical professional service providers and develop cases for future action, including referral to law enforcement and other administrative actions.Requirements4 years of experience with an AS/AA degree, 2 years with a BS/BA degree, 0 years with an MS/MA degree, 6 years with a HS Diploma/equivalentInvestigative experienceStrong investigative skillsStrong communication and organization skillsStrong PC knowledge and skillsUS Citizenship requiredMedicare Part C, Medicare Part D, or managed care experienceKnowledge of investigative practices regarding healthcare providersKnowledge of Medicare and/or Medicaid programs and the rules, regulations, policies and proceduresBenefitsGenerous Paid Time Off401k MatchingRetirement PlanOriginally posted on Himalayas