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Supervisor Investigation (Healthcare FWA Team)

Supervisor Investigation (Healthcare FWA Team)

Utah StaffingSouth Jordan, UT, US
1 day ago
Job type
  • Full-time
Job description

Supervisor Investigation (Healthcare FWA Team)

Job Locations US-Remote ID 2025-17014 Category Fraud, Waste, and Abuse Position Type Full-Time

Overview : The Investigation Supervisor has the responsibility for leading client work aligned to Fraud, Waste and Abuse through a team of Investigators and support staff. This role provides front-line supervisory support to investigative staff and clients for the purposes of FWA detection and prevention. This may include investigating suspected incidents of fraud, waste, or abuse.

Responsibilities :

  • Team Management :
  • Supervises the work of Investigators and / or support staff aligned to suspected incidents of fraud, waste or abuse.
  • Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
  • Motivate team members through effective training and coaching to improve quality and accuracy.
  • Contribute to discussions related to hiring, progressive discipline, and terminations. Ensure team members are meeting required metrics.
  • Conduct frequent performance evaluations with each team member.
  • Client Management :
  • Ensures compliance with customer contracts.
  • Serves as a main liaison to customers.
  • Develops and conducts investigation-related training.
  • Supports legal proceedings as needed, including testifying in court or working with law enforcement personnel to prepare cases for civil or criminal actions.
  • Negotiates settlement agreements to resolve disputes.
  • Maintains current knowledge of relevant laws, regulations and standards
  • Participates in special projects as required.

Qualifications :

  • Education and Experience Requirements :
  • Bachelor's Degree in related discipline, or the equivalent combination of education, professional training and work experience.
  • 8-10 years of related investigative experience.
  • 2+ years of experience supervising investigative staff.
  • Preferred certifications :
  • Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Specialist (CFS), Certified Fraud Examiner (CFE), Certified Forensic Interviewer (CFI), or Certified in Healthcare Compliance (CHC).
  • Skills and Abilities :

  • Excellent verbal and written communication skills.
  • Strong listening and observation skills.
  • Attention to detail and high level of accuracy.
  • Effective organizational and prioritization skills with multi-tasking ability.
  • Effective supervisory skills.
  • Job Demands :

  • This is a work-at-home position. Access to high-speed internet is required (all other equipment will be provided).
  • Must be able to sit and use a computer keyboard for extended periods of time.
  • Travel up to 15%.
  • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
  • After-hours and / or weekend work required where necessary for major deliverables / deadlines (not consistent).
  • Mental Requirements :

  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.
  • Physical Requirements and Working Conditions :

  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and / or fingers.
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
  • No adverse environmental conditions expected.
  • Base compensation ranges from $95,000 to $125,000. Specific...

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

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    Team Supervisor • South Jordan, UT, US

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