Special Investigations Unit Investigator
CareOregon(11 days ago)
About this role
The Special Investigations Unit Investigator at CareOregon is responsible for conducting fraud, waste, and abuse investigations to ensure compliance with relevant regulations. The role involves developing and implementing FWA programs, performing audits and investigations, preparing reports, and educating staff and providers. The position supports safeguarding organizational assets and ensuring efficient operations in a healthcare setting.
Required Skills
- investigations
- Data Analytics
- Healthcare Compliance
- Auditing
- Investigation Techniques
- Report Writing
- Policy Development
- Regulatory Knowledge
- Data Analysis
- Communication
Qualifications
- CPC (Certified Professional Coder)
- RHIT (Registered Health Information Technician)
- CFE (Certified Fraud Examiner)
About CareOregon
careoregon.orgWhether you’re a current Oregon Health Plan (OHP) Medicaid member or want to become one, CareOregon is here to help you get the best health care.
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