
Fraud and Compliance Investigator
Há 2 dias
Job Overview
The role of Fraud and Waste Manager involves leading fraud investigations and monitoring billing practices to ensure appropriateness. This position requires a professional with strong leadership skills and experience in managing investigators.
Responsibilities:
- Coordinate with law enforcement authorities to investigate allegations of fraudulent practices.
- Lead teams in assembling evidence and documentation to support investigations.
- Monitor investigations to ensure that billing practices are appropriate and compliant.
Requirements:
- Bachelor's degree in a relevant field.
- A minimum of 3 years' experience in health insurance claims or Medicare.
- A minimum of 3 years' experience in Fraud, Waste, and Abuse.
- Proven leadership skills and experience managing seasoned professionals.
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