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Supervisor Investigation (Healthcare FWA Team)

Supervisor Investigation (Healthcare FWA Team)

CotivitiHempstead, NY, US
1 day ago
Job type
  • Full-time
Job description

Investigation Supervisor

The Investigation Supervisor has the responsibility for leading client work aligned to Fraud, Waste & 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)
  • 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 offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

    Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

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    Team Supervisor • Hempstead, NY, US

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