Senior Healthcare Fraud SIU Investigator
EmblemHealth
EmblemHealth is seeking a seasoned fraud investigator to conduct complex investigations into Medicaid fraud, develop leads, review claim files, and guide junior investigators. You will interview providers, assess medical records, and ensure accurate CPT coding while mentoring the SIU team. The role requires 4–6+ years of investigation experience, CPT/ICD9-CM knowledge, and strong communication skills. Collaboration with law enforcement and regulatory agencies will be a key aspect of this #J-18808-Ljbffr
Vacancy posted 3 days ago
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