Job Details

A company is looking for a Senior Investigator to enhance the fight against healthcare fraud, waste, and abuse.Key ResponsibilitiesLead development and execution of SIU process improvements for audit processesImplement an effective audit strategy to investigate known or suspected instances of FWABuild strong working relationships with regulatory and law enforcement agenciesRequired Qualifications5+ years of experience in the healthcare FWA spaceExperience identifying operations and process improvement effortsUnderstanding of compliance & payer requirements including Medicare regulationsKnowledge of fraud statutes and regulationsFraud Investigation Certification (CFE, AHFI, etc.) preferred but not required