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Senior Fraud Investigations Analyst
Location
Kentucky + 4 moreAll locations: Kentucky | North Carolina | South Carolina | Wisconsin | Wyoming
Posted
49 days ago
Salary
$81.1K - $129.7K / year
Seniority
Senior
Job Description
Senior Fraud Investigations Analyst
E-Verify Program
• Conducts investigations in accordance with investigative action plan and documents all findings in standard with SIU Policies and Procedures • Identifies errors and control deficiencies. • May be required to provide deposition and/or testimony • Conduct interviews of victims, subjects and/or other related persons • Prepares and conducts presentations and/or provides content for health care fraud and abuse education and awareness.
Job Requirements
- Bachelor's degree or advanced degree (where required)
- 5+ years of experience in related field.
- In lieu of degree, 7+ years of experience in related field.
- Working knowledge of Medicare programs and reimbursement principles, including general billing requirements and documentation expectations
- Professional certifications such as AHFI (Accredited Healthcare Fraud Investigator), CFE (Certified Fraud Examiner), or similar healthcare fraud or compliance credentials
- Experience reviewing and vetting investigative leads and determining appropriate next steps
- Strong Excel skills for organizing, tracking, and reviewing case data (e.g., filtering, sorting, basic formulas, pivot tables)
Benefits
- Medical, dental, and vision coverage along with numerous health and wellness programs.
- Parental leave and support plus adoption and surrogacy assistance.
- Career development programs and tuition reimbursement for continued education.
- 401k match including an annual company contribution
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