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Vaya Health

Special Investigator (Remote NC)

Vaya Health, Raleigh, North Carolina, United States

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LOCATION:

Remote -must live in North Carolina or within 40 miles of the NC border. This position is remote, but the applicant must be able to travel to Vaya's Offices or within Vaya's Catchment area as needed. GENERAL STATEMENT OF JOB

The Special Investigator works under the direct supervision of the SIU Manager. The Special Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse within the Vaya Health Network of contracted providers. The Special Investigator will develop investigative summary reports and make applicable referrals to the NC Division of Health Benefits, and recommendations as necessary to providers associated with investigation findings/outcomes. ESSENTIAL JOB FUNCTIONS

Investigative ethically arises into your own ...

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