Idaho Licensed Fraud Investigator

Job Summary

A company is looking for a SIU Program Integrity Investigator - Remote (In Idaho).

Key Responsibilities

• Manage and conduct fraud, waste, and abuse investigations, including data analysis and case strategy development
• Prepare detailed investigatory reports and present findings to internal departments and law enforcement
• Collaborate with clients and law enforcement, maintaining relationships to support fraud detection and prevention efforts

Required Qualifications, Training, and Education

• Minimum of five years of experience in fraud investigations or related healthcare insurance fields
• Bachelor's degree or a combination of education and work experience may be considered
• Comprehensive knowledge of fraud investigative techniques and methodologies
• Strong computer skills, including proficiency in Microsoft Office applications
• Ability to work independently and manage case loads with limited supervision