SIU Investigator III (Must live in Georgia)
CareSource(7 days ago)
About this role
The Special Investigations Unit III investigates complex healthcare fraud, waste, and abuse cases involving providers and members. The role includes data analysis, case development, and collaboration with legal and regulatory bodies.
Required Skills
- Healthcare Fraud
- Medical Coding
- Data Analysis
- Investigation
- Regulatory Compliance
- Forensic Accounting
- Medical Terminology
- Communication
- Legal Compliance
- Project Management
Qualifications
- Bachelor’s Degree in health-related field or relevant experience
- AHFI or CFE certification
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