Healthcare Fraud Investigator

15 hours ago


Spring Hill, Florida, United States The CSI Companies Full time
Job Title: Special Investigator - Healthcare Fraud

The CSI Companies is seeking a highly skilled Special Investigator - Healthcare Fraud to join our team. As a Special Investigator, you will play a critical role in supporting the prevention, detection, investigation, and recovery of money related to healthcare fraud, waste, and abuse.

Job Summary:

The Special Investigator - Healthcare Fraud will be responsible for managing the day-to-day activities of the Special Investigations Unit (SIU). This includes developing leads, conducting investigations, and analyzing data to identify potential fraud, waste, and abuse. The successful candidate will have a strong understanding of healthcare regulations and laws, as well as excellent analytical and communication skills.

Key Responsibilities:
  • Develop and implement strategies to prevent and detect healthcare fraud, waste, and abuse
  • Conduct thorough investigations of potential fraud, waste, and abuse cases
  • Analyze data and identify trends and patterns related to healthcare fraud, waste, and abuse
  • Collaborate with internal and external stakeholders to share findings and best practices
  • Develop and maintain relationships with regulatory agencies and law enforcement
  • Prepare and present reports and findings to management and stakeholders
Requirements:
  • Bachelor's degree in a related field, such as criminal justice or healthcare administration
  • 1-3 years of experience in healthcare fraud investigation or a related field
  • Certification in Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI), or Certified Fraud Examiner (CFE) is a plus
  • Valid driver's license and ability to pass criminal background and drug screening
About Us:

The CSI Companies is a leading provider of staffing services to the healthcare industry. We are committed to delivering exceptional service and support to our clients and candidates. If you are a motivated and detail-oriented individual with a passion for healthcare fraud investigation, we encourage you to apply for this exciting opportunity.



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