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Healthcare Fraud Investigator Intern Jobs in Arkansas

Healthcare Fraud Investigator Jobs
By Advize At United States

As Advize's work in the FWA world grows, so must our team. This position will be in our internal Special Investigations Unit (SIU) where you will conduct Medicaid fraud, waste, and abuse (FWA) ...

Healthcare Fraud Investigator-Work At Home
By The Cigna Group At United States
Minimum 3 years' experience in health insurance investigation/audit
Clear and concise verbal and written communication skills.
Strong computer skills are required - Excel, Access and Word
Accredited Health Care Fraud Investigator (AHFI) certification and Certified Fraud Examiner (CFE) preferred
Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations
Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies.
Healthcare Investigator Jobs
By Advize At United States

CFE and AFHI are preferred but not required.

Healthcare Fraud Investigator Lead - Medicare (Upic-West) - Remote Or Office Based
By Qlarant At United States
Based on contract requirements, may refer potential adverse decisions to the Manager, Medical Director, or designee
Supervises administrative remedies in accordance with major case coordination direction (e.g. payment suspensions, revocations, provider education) and reviews for quality assurance
Assists Program Integrity Manager and VP of Operations with information and reporting for contract deliverables
Analytical- Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data.
Problem Solving– Gathers and analyses information skillfully; Identifies and resolves problems.
Three years' experience fraud investigation/detection (preferred) or in healthcare programs.