Senior Clinical Investigator - Fraud & Medical Audits
Boston Medical Center
Boston Medical Center is seeking a Clinical Investigator II to serve as the SIU clinical expert, leading investigations, audits, and liaison with regulatory bodies. The role emphasizes medical necessity review, data-driven fraud detection, and cross-department collaboration. The position includes on-site duties in the BMCHP Compliance unit, with a focus on safeguarding plan assets and ensuring quality member care. Prior nursing licensure and fraud investigation certification are valued. #J-18808-Ljbffr Boston Medical Center
Vacancy posted 1 day ago
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