What are the responsibilities and job description for the Lead Fraud Investigator position at Health Care Service Corporation?
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This position is responsible for identifying, developing and managing complex, high-impact health care fraud investigations resulting in criminal and/or civil prosecution. May be responsible for establishing and maintaining close liaison, as indicated in plan design, with departments/personnel and law enforcement representatives to further the SID’s investigation and referral for prosecution of health care fraud cases.
JOB REQUIREMENTS:
- Bachelors Degree
- 7 years law enforcement experience (local, state, or federal) or 7 years fraud investigative experience.
- Experience directing complex fraud investigations which result in criminal or civil prosecutions.
- Experience planning and conducting interviews which develop significant information in furtherance of complex fraud, waste, and abuse investigations.
- Familiarity with state and federal laws app
PREFERRED JOB QUALIFICATIONS:
- Experience in Medicare investigations.
- Experience working within a Health Care Company’s Special Investigations Unit or federal law enforcement.
- Experience in conducting complex investigations which lead to corrective actions.
- Proven ability to conduct investigations in a respectful and professional manner.
Please note that this role is HYBRID with an in-office requirement of 3 days a week
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Compensation: $60,300.00 - $133,400.00
Exact compensation may vary based on skills, experience, and location
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
Salary : $60,300 - $133,400
