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Job Summary

Location
SAN ANTONIO, TX 78205
Industries
Healthcare Services
Job Type
Full Time
Years of Experience
2+ to 5 Years
Education Level
Some College Coursework Completed
Career Level
Experienced (Non-Manager)
Job Reference Code
358

Investigator - Health Claims

About the Job

Health Integrity has been awarded a contract related to Medicare compliance work and we need talented staff for a variety of assignments in our San Antonio office.  The position affords you the opportunity to build your expertise in this important new benefit and fill an important role in protecting the rights of Medicare beneficiaries.  

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Independently performs in-depth evaluation and makes field level judgments related to investigations of potential Medicare compliance cases that meet established criteria for referral to the Centers for Medicare & Medicaid for administrative action or to the OIG for criminal action.  Utilizing leads provided by the team and referrals from government and private agencies, works with the team to prioritize complaints for investigation, and then investigates, conducts interviews and reviews information to make potential compliance or fraud determination.

Health Integrity is a highly successful and rapidly growing not-for-profit company with a passion for excellence.

We offer you: 

*  E xcellent company paid benefits, including parking

*  F lexible weekday hours with holidays off

*  I nteresting and challenging work

*  A stimulating work environment

*  T he chance to join a team in making a positive difference

For immediate consideration, please submit your resume and salary requirements.

Affirming equal opportunity in principle and practice, Health Integrity is an equal opportunity employer, committed to developing a diverse workforce.

 

 



Job Requirements:

Must possess three to five years of experience in health care fraud investigation/detection or a related field that demonstrates expertise in reviewing, analyzing, and making appropriate decisions.  Prior successful experience with CMS and OIG/FBI or similar agencies preferred. A Bachelor's Degree OR certification in an applicable program such as Certified Fraud Examiner or Criminal Justice certification is required.



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