Telecommute Fraud and Abuse Investigator

Job ID: Available for Members

Location: Florida, Nevada, South Dakota, Texas, Washington, Wyoming

Compensation: To Be Discussed

Staff Reviewed: Mon, Dec 02, 2019

Job Category: Healthcare, Investigations, Non-profit

Telecommute Level: Occasionally

Travel Requirements: Some Travel

Weekly Hours: Day Shift, Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A non-profit healthcare company is seeking a Telecommute Fraud and Abuse Investigator.

Must be able to:

  • Contribute to the review of reimbursement systems
  • Contribute to in-depth investigations for suspected fraud or abuse with respect to provider
  • Contribute to the review of the quality of pharmacy, physician, ancillary and hospital based coding

Qualifications Include:

  • Occasional on-site audits
  • Bachelor's Level Degree
  • Certified Fraud Examiner