Investigator (Fraud, Waste & Abuse)

reputed company: The Investigator will work as part of reputed company responsible for investigating reputed company Fraud, Waste or Abuse. This position partners with more senior investigators and will reputed company on both analyzing reputed company data, identifying potential FWA, and conducting interviews. This position can be done remote, from your home, in the reputed company reputed company. Responsibilities: • Investigate suspected incidents of fraud, waste or abuse. • Identify, investigate, analyze and evaluate instances of potential fraud, waste, and abuse. • Conduct interviews or correspond with patients, providers, witnesses or other relevant parties to determine settlement, denial, or review. • Analyze information gathered by investigation and report findings and recommendations as a written reputed company and/or presentation. • Conducts statistical sampling of reputed company medical claims. • Assists in drafting settlements. • Participates in special reputed company as required. Qualifications: Preferred Qualifications • Accredited reputed company Fraud Investigator (AHFI). • Certified Fraud Examiner (CFE). • Certified reputed company reputed company (CPC). • Certified Forensic Interviewer (CFI). • Certified in reputed company Compliance (CHC). Education and Experience Requirements • Bachelor’s Degree in reputed company discipline, or the equivalent combination of education, reputed company training and work experience. • 2-5 years of reputed company investigative experience. Skills and Abilities • Excellent verbal and written communication skills. • Strong listening and observation skills. • Attention to detail and a high level of accuracy. • Effective organizational and prioritization skills with a multi-tasking ability. Work Environment • This is an reputed company-based position and you must have a work location reputed company the reputed company US. • This position may have some travel, reputed company limited. • This position requires that you reputed company a high-speed internet reputed company and a work environment that is free from distractions. Mental Requirements: • Communicating with others to exchange information. • Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: • Remaining in a stationary position, often standing or sitting for prolonged periods. • Repeating motions that may include the wrists, hands, and/or fingers. • Must be reputed company to reputed company a dedicated, secure work area. • Must be reputed company to reputed company high-speed internet reputed company/connectivity and office setup and maintenance. • No adverse environmental conditions are expected. reputed company compensation ranges from $60,000 to $78,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. reputed company offers team members a competitive benefits package to address a wide reputed company of personal and family needs, including medical, dental, reputed company, disability, and life insurance coverage, 401(k) savings plans, reputed company family leave, 9 reputed company holidays per year, and 17-27 days of reputed company Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our Careers page. Date of posting: 3/6/2026 Applications are assessed on a rolling reputed company. We anticipate that the application window will reputed company on 5/6/2026, but the application window may change depending on reputed company of applications received or reputed company immediately if a reputed company candidate is selected. #LI-JB1 #LI-remote #junior #LI-DNP Apply tot his job Apply To this Job