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Healthcare Fraud Investigator

Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025

Job Description:

A company is looking for a Special Investigation Unit Investigator to investigate allegations of potential healthcare fraud and abuse activity.
Key Responsibilities

Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims

Required Qualifications

Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience
1+ years of experience in medical claim investigation, audit, analysis, or fraud investigation

Keywords: VirtualVocations, Upland , Healthcare Fraud Investigator, Healthcare , Vista, California

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