Fraud Examiners, Investigators and Analysts

Job Description

Join our team as a Fraud Examiner, Investigator, or Analyst, where you will be responsible for conducting thorough investigations into potential fraud and waste in our healthcare services. Collaborate with various stakeholders to gather evidence and perform analysis.

Responsibilities

• Investigate allegations of fraud, waste, and abuse within the organization.
• Analyze financial records and data to identify discrepancies.
• Create and manage cases from inception to resolution.
• Draft and issue investigative reports with actionable recommendations.
• Collaborate with IT and data analytics teams to utilize technology in investigations.
• Conduct risk assessments and recommend mitigative strategies.
• Engage in training sessions and information sharing within the organization.
• Maintain comprehensive documentation of investigations and outcomes.

Requirements

Education

• Bachelor's degree in Accounting, Finance, or related field
• Certification in fraud examination (e.g. Certified Fraud Examiner, Certified Fraud Specialist) is preferred

Experience

• 3-5 years of relevant experience in fraud investigation or a related field.

Technical Skills

• Data Analysis
• Microsoft Office Suite
• Investigation Software

Soft Skills

• Analytical Thinking
• Communication
• Attention to Detail

Languages

• English: Fluent

Advantageous

• Experience with fraud detection software: Hands-on experience with fraud detection tools and methodologies.
• Knowledge of healthcare regulations: Understanding of regulations such as HIPAA and their impact on investigations.

Benefits

• Competitive salary and performance bonuses
• Comprehensive health, dental, and vision insurance
• Flexible working hours and work-from-home options
• Opportunities for professional development and training

Company Culture

• Integrity: We uphold the highest standards of integrity and ethics in our investigations.
• Teamwork: We believe in the power of collaboration to achieve our goals.
• Continuous Improvement: We are committed to learning and evolving to better serve our customers.