Fraud Investigation Analyst
Zelis(14 days ago)
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.
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
About Zelis
zelis.comDiscover the connected platform that's bridging gaps and aligning interests of healthcare payers, providers, and healthcare consumers.
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