Job Summary
An information technology and professional services company is filling a position for a Work from Home Senior Healthcare Fraud Investigator in Nashville.
Candidates will be responsible for the following:
- Conducting independent investigations resulting from the discovery of situations that potentially involve fraud or abuse
- Reviewing information contained in standard claims processing system files
- Reviewing, analyzing, developing and preparing potential Fraud Alerts
Position Requirements Include:
- At a minimum, a high school diploma
- At least 3 years of experience in program integrity investigation/detection or a related field
- Must have and maintain a valid s license issued by the state of residence
