Remote Health Fraud Investigator

Job ID: Available for Members

Location: Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming

Compensation: To Be Discussed

Staff Reviewed: Wed, Nov 13, 2019

Job Category: Healthcare, Investigations

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A provider of consulting and business services is in need of a Remote Health Fraud Investigator.

Must be able to:

  • Determine investigation or case appropriateness of fraud
  • Refer potential adverse decisions to the Lead Investigator/Manager/Medical Director
  • Conduct interviews of witnesses, informants, and subject area experts

Must meet the following requirements for consideration:

  • Bachelor's degree or equivalent
  • Certification in an applicable program such as Certified Fraud Examiner
  • Health care fraud investigation work experience