Job Summary

A healthcare company is in need of a Telecommute Senior Healthcare Fraud Investigator.

Must be able to:

• Review for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems
• Identify and develop enterprise-wide specific healthcare investigations and initiatives
• Interface internally with Senior level management and legal department throughout investigative process

Qualifications Include:

• May be called upon to represent the Company in court proceedings regarding research findings
• BA/BS degree 5+ years related experience in healthcare insurance and healthcare insurance investigation, law enforcement or any combination of education and experience
• Professional certification of CFE, AHFI, CPC, Paralegal, RN, JD or other job related designation preferred