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Do Not Be Influenced by Others’ Negative Opinions of You
In-House
Attorney
Criminal Law - Prosecution
Litigation
Litigation - Whistleblower - CFTC
3-5 yrs required
Investigator III or Investigator Senior Duties: Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments to providers and subscribers. Ensures investigations are managed and documented in an audit ready and compliant manner. Prepares statistical/financial analyses and reports to document findings and maintains up-to-date case files for management review. Prepare final report and notification of findings letter suitable for dissemination to provider and counsel. Presents providers offers for settlement to supervisor and legal for approval. Communicates orally and in writing with all customers, internal and external, regarding findings. Assists in the development of policy and/or procedures to prevent loss of company assets. Prepares and delivers training to internal and external entities. Develops and maintains a high degree of rapport and cooperation with the Federal, State and local law enforcement and regulatory agencies which can assist in investigative efforts. Represents the Company in court proceedings regarding research findings. Provides technical support and guidance to lower-leveled associates. Assists with special projects, systems implementations and updates.
Qualification and Experience
Qualifications: BA/BS RN Degree, CPA, or JD Degree preferred. 3-5 years' experience in healthcare, white collar crime investigation or related area; or any combination of education and experience, which would provide an equivalent background. Professional certification of CFE, AHFI or other job related designation preferred. Previous law enforcement experience preferred. Experience with FBI or District Attorney’s Office preferred.
Requisition ID: 116995
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