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Associate Investigator, FWA - SIU
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- The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation and prevention activities under the general direction of the Director or designee.
- Plan, organize, and execute investigations or audits utilizing document review, witness interviews and data analysis to identify, evaluate and measure potential healthcare fraud and abuse to determine valid cases for appropriate action.
- Utilize data mining and visualization programs to design queries and analyze claims data to detect outliers or suspicious patterns for further investigation.
- Understand and adhere to HIPAA privacy requirements.
- At least three (3) years of related investigative, claims, compliance or analyst experience in healthcare, data reporting and/or data analysis required.
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