Senior Fraud Investigator
This job has been removed
Location: Remote
Compensation: Salary
Reviewed: Wed, Apr 01, 2026
This job expires in: 0 days
Job Summary
A company is looking for a Senior Fraud Investigator responsible for investigating and resolving healthcare fraud and abuse.
Key Responsibilities:
- Investigate instances of potential healthcare fraud, waste, and abuse
- Conduct interviews and gather information from members, providers, and related parties
- Review and analyze claims data to identify patterns indicative of fraud
Required Qualifications:
- Certified Coding Credential
- 5+ years of experience in government, legal, law enforcement, or healthcare investigations
- 5+ years of experience investigating medical/behavioral healthcare fraud
- 3+ years of experience in a health care Special Investigations Unit (SIU)
- Intermediate proficiency with Excel, including pivot tables and formulas
COMPLETE JOB DESCRIPTION
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