SIU Investigator - Remote

Prime Therapeutics

2 months ago

3.5 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

The SIU Investigator at Prime Therapeutics conducts investigations into potential pharmacy, member, and prescriber fraud, waste, and abuse to protect plan integrity. The role analyzes claims data, prepares investigative findings and reports, and supports remediation, recovery, and referrals to appropriate agencies. This is a remote position focused on ensuring proper identification and escalation of suspected FWA.

Skills

Qualifications

Bachelor's DegreeHigh School Diploma or GEDCertified Fraud Examiner (CFE)Accredited Health Care Fraud Investigator (AHFI)National Pharmacy Technician Certification (PTCB or ExCPT) (CPhT)

About Prime Therapeutics

primetherapeutics.com

Turning barriers into breakthroughs. Questions into trust. Fears into cures. See how we're reimagining pharmacy solutions.

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