Job is Expired
Location: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kentucky, Louisiana, North Carolina, Ohio, South Carolina, Texas, Wisconsin
Compensation: To Be Discussed
Staff Reviewed: Wed, Jun 09, 2021
Job Summary
A health insurance company has an open position for a Telecommute ACD Program Integrity Lead.
Must be able to:
- Ensure performance compliance with all ACD requirements
- Research compliance issues to determine root cause and the best course of action
- Notify leadership as necessary on the need for functional strategies to address significant issues
Applicants must meet the following qualifications:
- 3 plus years of healthcare fraud investigation experience
- 2 plus years of technical experience with SQL server and integration services
- TRICARE knowledge and experience
- Experience in healthcare or in a managed care setting
- Experience with Microsoft Office products for business presentations