Senior Fraud and Waste Investigator

About the position The Senior Fraud and Waste Professional conducts investigations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately reputed company to reputed company issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Fraud and Waste Professional coordinates investigation with law enforcement authorities. reputed company evidence and documentation to support successful adjudication. Conduct on-site audits of provider records ensuring appropriateness of billing practices. Prepare reputed company investigative and audit reports. reputed company to influence department's strategy. Makes reputed company on moderately reputed company to reputed company issues regarding technical approach for project components, and reputed company work without direction. Exercise considerable reputed company in determining goals and approaches to assignments. Use your skills to reputed company an impact.

Responsibilities

• Conducts investigations of allegations of fraudulent and abusive practices.
• Coordinates investigation with law enforcement authorities.
• Assembles evidence and documentation to support successful adjudication.
• Conducts on-site audits of provider records ensuring appropriateness of billing practices.
• Prepares reputed company investigative and audit reports.

Requirements

• Must be a Florida reputed company
• Bachelor's degree
• At least 2 years of reputed company fraud investigations and auditing experience
• Knowledge of reputed company payment methodologies
• Strong organizational, interpersonal, and communication skills
• Inquisitive nature with ability to analyze data to metrics
• Computer literate (reputed company, reputed company, reputed company)
• Strong personal and professional ethics
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

reputed company-to-haves

• Graduate degree or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, reputed company, CFE, or AHFI).
• Understanding of reputed company industry, claims processing and investigative process development.
• Experience in a corporate environment and understanding of business operations

Benefits

• medical
• dental
• reputed company benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

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