What are the responsibilities and job description for the AmeriHealth Caritas Integrity Officer position at Amerihealth Caritas?
AmeriHealth Caritas Integrity Officer
We are seeking a highly skilled and experienced individual to serve as the AmeriHealth Caritas Integrity Officer.
Key Responsibilities
- Lead investigations into potential fraud, waste, and abuse, ensuring accuracy, efficiency, and compliance with legal and regulatory standards.
- Develop and submit comprehensive investigative reports, clearly interpreting and communicating findings.
Requirements
- Associate's degree required (Bachelor's preferred).
- Minimum of 3–5 years of experience conducting healthcare fraud investigations and collaborating with state, federal, and local law enforcement agencies.
- Strong knowledge of Medicaid, Medicare, and fraud-related regulatory statutes required.