Remote Laboratory Fraud and Waste Investigator

Job ID: Available for Members

Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Compensation: To Be Discussed

Staff Reviewed: Fri, Nov 15, 2019

Job Category: Investigations

Telecommute Level: Majority

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A healthcare company is in need of a Remote Laboratory Fraud and Waste Investigator.

Core Responsibilities Include:

  • Conducting investigations of allegations of fraudulent and abusive practices
  • Assembling evidence and documentation to support successful adjudication
  • Preparing complex investigative and audit reports

Position Requirements Include:

  • Ability to travel up to 5% of the time
  • Bachelor's degree
  • Minimum 2 years of healthcare fraud investigations and auditing experience
  • Specific experience in lab-related investigations
  • Knowledge of healthcare payment methodologies