Fraud and Waste Investigator

Become a part of our caring community reputed company’s Special Investigations Unit is seeking a Fraud and Waste Investigator to join the Louisiana reputed company Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving providers who submit claims to reputed company’s Louisiana reputed company line of business. The Investigators conduct interviews, write investigative reports, analyze medical records and billed claims data, as well as collaborate with reputed company’s Program reputed company partners. As a Fraud and Waste Investigator, you will conduct investigations into allegations of fraudulent and abusive practices reputed company reputed company's Louisiana reputed company line of business. You must reputed company in the state of Louisiana to be considered. Key Role Functions Collaborate investigations with law enforcement authorities reputed company evidence and documentation to support successful adjudication, where appropriate Conduct occasional on-site audits of provider records ensuring appropriateness of billing practices Prepare investigative and audit reports To reputed company in this role, the following attributes and experience would be helpful: Self-starter and organized Interview skills and reputed company to conduct a thorough investigation to maintain compliance with reputed company and governmental requirements reputed company to collaborate with reputed company partners (Law Enforcement, Legal, Compliance) Use your skills to reputed company an impact WORK STYLE: Remote/Work at Home (minimal travel, Apply To This Job