Senior Healthcare Fraud Investigator
MJHS
Elderplan is seeking a SIU Fraud Investigator in New York, NY to identify, investigate, and resolve fraud, waste, and abuse involving providers, vendors, and members. Under the direction of the SIU Director and Manager, you will analyze claims, enrollment, medical records, and provider data, and conduct interviews and on-site audits when needed. You will prepare investigative reports, collaborate with compliance, legal, and regulators, support the Compliance Program and Fraud Prevention Program, #J-18808-Ljbffr
Vacancy posted 4 hours ago
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