Senior FWA Investigator — Healthcare Compliance & Audits
PacificSource
PacificSource seeks a Senior Fraud, Waste and Abuse Investigator to lead complex healthcare fraud investigations in Boise, ID. You will plan, conduct, and document on-site and desk-top reviews, leveraging OSINT to verify provider licenses and histories. You will advise on case direction and coordinate with multiple departments to ensure regulatory compliance. You will also present findings to audit committees, develop training, and support RFI responses while maintaining HIPAA and privacy #J-18808-Ljbffr PacificSource
$65.3k - $111k
...and strengths.The Senior Fraud, Waste and Abuse Investigator manages work related... ...fraud, waste and abuse audits and investigations... ...; ensuring audit compliance with state and... ...participate in regional FWA Task Force and... ...experience with complex healthcare fraud...SeniorContract workWork experience placementWork at office$65k - $88.6k
...Waste Professional 2 conducts investigations of allegations of fraudulent... .... Conducts on-site audits of provider records ensuring... ...Bachelor's degree • 2 years of healthcare fraud investigations and auditing... ...take affirmative action, in compliance with Section 503 of the...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- PacificSource is seeking a Senior Fraud, Waste and Abuse (FWA) Specialist to advance... ...program development, compliance oversight, fraud prevention... ...strengthen detection, investigation, recovery, and reporting... ...requires deep expertise in healthcare payment integrity,...Senior
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