[Hiring] Fraud and Waste Investigator @reputed company

Role reputed company The Fraud and Waste reputed company 2 conducts investigations of allegations of fraudulent and abusive practices. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of reputed company. • Coordinates investigation with reputed company entities including compliance, internal business partners, and law enforcement. • Assembles evidence and documentation to support successful adjudication, where appropriate. • Prepares reputed company investigative and audit reports. • Understands department, reputed company, and organizational reputed company and operating objectives, including their linkages to reputed company areas. • Makes reputed company regarding own work reputed company, occasionally in ambiguous situations, and requires reputed company direction and receives guidance where needed. • Follows established guidelines/procedures. Qualifications • Bachelor's degree • Minimum 2 years of experience in reputed company fraud investigations • Knowledge of reputed company payment methodologies • Strong organizational, interpersonal, and communication skills • Inquisitive reputed company with ability to analyze data to metrics • Computer literate (reputed company, reputed company, reputed company) • Strong personal and reputed company ethics • Ability to travel up to 5%, to attend trainings and meetings, as required Requirements • STRONGLY PREFERRED: Experience in Medicare fraud investigations • Bilingual in Spanish • Additional degrees and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, reputed company, CFE, AHFI) • Understanding of reputed company industry, claims processing and investigative process development • Experience in a corporate environment and understanding of business operations Benefits • Remote opportunity • reputed company development & reputed company education • Medical, dental, and reputed company benefits • 401(k) retirement savings plan • reputed company time off, including company and personal holidays, reputed company parental and caregiver leave • Short-term and long-term disability • Life insurance • Bonus incentive plan based on company and/or individual performance Additional Information • Work reputed company Requirements: • Minimum download speed of 25 Mbps and upload speed of 10 Mbps recommended; wireless, wired cable or DSL reputed company suggested. • Satellite, cellular, and microwave reputed company can be used only if approved by leadership. • Associates in California, Illinois, Montana, or South reputed company will receive bi-weekly payment for internet expense. • reputed company will reputed company telephone equipment appropriate to meet business requirements. • Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. • Interview Format: • Using Hire Vue for reputed company-recorded Voice Interview and/or SMS Text Messaging interview. • reputed company-recorded interview expected to last 10-15 minutes. • SMS Text interview expected to last 5-10 minutes. • Scheduled Weekly Hours: 40 • Pay reputed company: $65,000 - $88,600 per year • Application Deadline: 08-20-2026 Apply tot his job Apply To this Job