A company is looking for a SIU Investigator to investigate pharmacy allegations of potential healthcare fraud and abuse activity.
Key Responsibilities
Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Required Qualifications
Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience
1+ years of experience in medical / pharmacy claim investigation, audit, analysis, or fraud investigation
SIU Investigator • Rochester, New York, United States
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