Healthcare Fraud Investigator

A company is looking for a Special Investigations Unit (SIU) Investigator to investigate potential healthcare fraud and abuse. Key Responsibilities Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining and analysis to detect aberrancies and outliers in claims Required Qualifications Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience 1+ years of experience in medical claim investigation, audit, analysis, or fraud investigation Accredited Health Care Fraud Investigator or Certified Fraud Examiner preferred Strong background in healthcare fraud investigations