Special Investigation Unit Investigator

VirtualVocations
Darnestown, Maryland, United States
Full-time

A company is looking for a Special Investigation Unit Investigator to investigate allegations of potential healthcare fraud and abuse activity.

Key ResponsibilitiesConduct investigations of potential waste, abuse, and fraudPerform data mining and analysis to detect aberrancies and outliers in claimsPrepare detailed reports on investigative findings for referral to Federal and State agenciesRequired QualificationsBachelor's Degree in Business, Criminal Justice, Healthcare, or related field, or equivalent experience1+ years of experience in medical claim investigation, audit, analysis, or fraud investigationKnowledge of Microsoft ApplicationsFamiliarity with medical coding and terminology preferred

6 days ago
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