Senior Investigator

Job Summary

A company is looking for a Senior Investigator to enhance the fight against healthcare fraud, waste, and abuse.

Key Responsibilities

• Lead development and execution of SIU process improvements for audit processes
• Implement an effective audit strategy to investigate known or suspected instances of FWA
• Build strong working relationships with regulatory and law enforcement agencies

Required Qualifications

• 5+ years of experience in the healthcare FWA space
• Experience identifying operations and process improvement efforts
• Understanding of compliance & payer requirements including Medicare regulations
• Knowledge of fraud statutes and regulations
• Fraud Investigation Certification (CFE, AHFI, etc.) preferred but not required