Senior Investigator - Lead Validation (Healthcare FWA)
RemoteRemote (US)senior$70K – $90K
Posted 2mo ago · via Icims
About this role
Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role. This role aligns with our post-pay Fraud Waste & Abuse team. Responsibilities Identify, investigate, analyze and evaluate instances of potential fraud, waste, and abuse. Proactively monitors provider activity to identify patterns, anomalies, and emerging trends that may warrant further investigation. Utilizes data analytics, claims review, and industry intelligence to detect potential fraud, waste, abuse, or non-compliance.…
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What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
This role is senior-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible. We factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included