Senior Investigator
Virtual Vocations Inc, New York, NY, United States
A company is looking for a Senior Investigator to enhance the fight against healthcare fraud, waste, and abuse.
Key Responsibilities
Lead development and execution of SIU process improvements for audit processes Implement an effective audit strategy to investigate known or suspected instances of FWA Build strong working relationships with regulatory and law enforcement agencies
Required Qualifications
5+ years of experience in the healthcare FWA space Experience identifying operations and process improvement efforts Understanding of compliance & payer requirements including Medicare regulations Knowledge of fraud statutes and regulations Fraud Investigation Certification (CFE, AHFI, etc.) preferred but not required
Lead development and execution of SIU process improvements for audit processes Implement an effective audit strategy to investigate known or suspected instances of FWA Build strong working relationships with regulatory and law enforcement agencies
Required Qualifications
5+ years of experience in the healthcare FWA space Experience identifying operations and process improvement efforts Understanding of compliance & payer requirements including Medicare regulations Knowledge of fraud statutes and regulations Fraud Investigation Certification (CFE, AHFI, etc.) preferred but not required