Healthcare Compliance Investigator
VirtualVocations
Seeking a detail-oriented Healthcare Compliance Investigator, the full-time remote position will conduct investigations into healthcare providers' compliance with legislation, review documentation, and generate comprehensive reports while collaborating with various stakeholders. Key responsibilities Requests and reviews providers' documents to determine compliance with relevant requirements Conducts investigations into potential violations by healthcare providers and insurers Drafts and reviews detailed investigative reports and findings analyses for internal and client review Required qualifications Bachelor's degree in public policy, public health, health administration, business, or a related field Minimum of two years of post-education work experience in a corporate environment Working knowledge of compliance laws and healthcare industry practices U.S. Citizenship or authorized to work in the U.S., eligible for a Public Trust clearance Willingness to report to the Woodlawn, MD headquarters for project-related activities as needed
- ...Investigator Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making...SuggestedLocal areaNight shiftWeekend work
- ...Epidemiology, Statistics, or a related quantitative field (PhD preferred) 3+ years of experience conducting research with real-world healthcare data at a population level Hands-on proficiency with SQL, R, and Python for data manipulation and analysis Strong applied...SuggestedRemote work
- ...safety audits, safety, and fire prevention and inspections Answering alarm responses Performing insurance inspections and investigations Job Requirements Successful candidates for the Detective role should have effective communication skills and the...SuggestedWeekly payFull timeTemporary workAfternoon shift
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