Fraud Investigator IV
Virtual Vocations Inc
Conducting research and data analysis, the full-time salaried Fraud Investigator IV will identify potential fraud, waste, and abuse (FWA) through extensive data mining and reporting, while working remotely. Key responsibilities: Identify trends and patterns in healthcare data to support fraud investigations and quality improvement initiatives Generate and present data analyses and graphics to communicate findings to relevant stakeholders Collaborate with legal teams and monitor emerging fraud trends to develop actionable strategies for risk mitigation Required qualifications: Bachelor's Degree or equivalent experience in Fraud & Abuse Investigations Minimum of 10 years of experience in Healthcare Fraud or data analysis Experience in healthcare delivery and/or payer systems Proficiency in SAS and SQL for analytics projects Preferred certifications include Certified Fraud Examiner or Accredited Healthcare Fraud Investigator
Vacancy posted 11 hours ago
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