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SIU Senior Investigator (Must Reside in Louisiana)
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Full-time
- SIU Senior Investigator (Must reside in Louisiana)
- Position SummaryAs a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse.
- Cooperates with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.
- Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings- Gives presentations to internal and external customers regarding healthcare fraud matters and Aetna's approach to fighting fraud- Provides input regarding controls for monitoring fraud related issues within the business unitsRequired Qualifications
- Working knowledge of medical coding; CPT, HCPCS, ICD10
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