Job Summary
A full-service investigations company has an open position for a Remote Medicaid and Medicare Program Integrity Action Analyst II.
Must be able to:
- Perform evaluation and development of complaints
- Conduct independent reviews resulting from the discovery of situations that potentially involve fraud or abuse
- Utilize basic data analysis techniques to detect aberrancies in Medicare claims data
Must meet the following requirements for consideration:
- Participate in onsite audits in conjunction with investigation development
- At least 1 year of experience in program integrity investigation/detection or a related field
- Excellent oral, written and verbal skills
- Ability to work independently with minimal supervision
