Surveillance investigator [h1.location_city]
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Surveillance investigator • baltimore md
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A company is looking for an SIU Investigator to uncover healthcare fraud and protect vital resources.
Key Responsibilities
Lead complex investigations into healthcare fraud, waste, and abuse
Utilize data mining and analysis techniques to identify anomalies in healthcare transactions
Serve as a subject matter expert and contribute to policy and strategy development related to FWA
Required Qualifications
Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent work experience
Minimum of 3 years of experience in health insurance fraud investigation, preferably with Medicare and / or Medicaid programs
Exceptional analytical skills with the ability to interpret complex data sets
Strong organizational skills to manage multiple investigations simultaneously
Proven ability to work independently and in collaborative settings