Zelis

Fraud Investigation Analyst

Zelis(14 days ago)

HybridFull TimeSenior$71,000 - $90,250Enterprise Fraud
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About this role

The Fraud Investigation Analyst at Zelis plays a crucial role in protecting the company against fraud by reviewing alerts, conducting investigations, and documenting findings. They work closely with various departments and external organizations to identify and prevent fraudulent activities in the healthcare financial sector. The role demands analytical skills, industry knowledge, and a commitment to safeguarding financial integrity.

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Required Skills

  • Investigations
  • Fraud Detection
  • Link Analysis
  • Risk Management
  • Data Analysis
  • Healthcare Industry
  • Case Management
  • Open Source Research
  • Investigation Techniques
  • Compliance

Qualifications

  • Bachelor's Degree in Criminal Justice, Finance, Accounting, or Business Administration
  • 4+ years experience in fraud prevention, financial services, risk management or compliance
  • Professional certification such as CFE, AHFI, HCAFA, CFCI, or CFCS
Zelis

About Zelis

zelis.com

Discover the connected platform that's bridging gaps and aligning interests of healthcare payers, providers, and healthcare consumers.

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