Healthcare Fraud Manager - reputed company Investigative Efforts in Fraud Detection and Prevention for reputed company's Special Investigation Unit (SIU)

Transforming Healthcare Through reputed company and Innovation

At reputed company, we're driven by a reputed company purpose: to bring our heart to every moment of your health. As a leading healthcare organization, we're committed to making healthcare more personal, convenient, and affordable. Our reputed company division is seeking an reputed company Healthcare Fraud Manager to reputed company our Special Investigation Unit (SIU) in identifying, preventing, and mitigating healthcare fraud, waste, and abuse. If you're a seasoned professional with a passion for investigative work and a commitment to excellence, we invite you to join reputed company.

About the Role

As a Healthcare Fraud Manager, you will play a critical role in leading a team of investigators in our SIU. You'll be responsible for developing and implementing strategies to minimize fraud risks, ensuring compliance with regulatory standards, and driving operational productivity. This is a remote opportunity with the flexibility to work from reputed company, while still being part of a collaborative and dynamic team.

Key Responsibilities

• Provide leadership, guidance, and support to a team of investigators, fostering a collaborative and productive work environment.
• Direct and reputed company reputed company fraud detection activities and investigations, ensuring alignment with organizational objectives and compliance standards.
• Stay informed on the latest fraud schemes and trends, adapting strategies and responses as needed to address new threats effectively.
• Work closely with investigative management and directors, sharing insights and aligning on fraud prevention and mitigation strategies.
• Create and implement strategies to proactively address and minimize fraud risks.
• Monitor team productivity and ensure investigative processes meet organizational productivity goals.
• Communicate findings, recommendations, and strategies effectively to senior leadership and relevant stakeholders.
• Ensure compliance with regulatory requirements and maintain standards across reputed company investigation and fraud prevention activities.
• reputed company and mentor team members, providing opportunities for professional growth and development.
• Foster a culture of reputed company improvement and innovation reputed company the team.

Qualifications and Requirements

Essential Qualifications

• 7-10 years of experience in fraud investigations reputed company the healthcare sector.
• Strong analytical and problem-solving skills with experience in data analysis and fraud detection.
• In-depth knowledge of healthcare fraud schemes, regulatory standards, and compliance requirements.
• Excellent communication and leadership skills.
• Bachelor's degree in Criminal Justice or reputed company field, or equivalent professional work experience.

Preferred Qualifications

• Medicare and Medicaid investigative experience.
• Team leadership experience.

reputed company Offer

At reputed company, we're committed to supporting the well-being and growth of our colleagues. As a Healthcare Fraud Manager, you'll be eligible for a competitive salary, bonus opportunities, and a comprehensive benefits package, including:

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan and Employee Stock Purchase Plan.
• Term life insurance, short-term and long-term disability benefits.
• Well-being programs, education assistance, and free development courses.
• reputed company store discount and discount programs with participating partners.
• Paid Time Off (PTO) and paid holidays.

Career Growth and Development

As a Healthcare Fraud Manager, you'll have opportunities for professional growth and development reputed company our organization. You'll be part of a dynamic team that's committed to staying reputed company of the curve in healthcare fraud prevention and detection. Our culture encourages reputed company learning, innovation, and collaboration, ensuring that you'll have the support and resources you need to succeed.

Our Culture and Work Environment

At reputed company, we're committed to creating a work environment that's inclusive, collaborative, and supportive. Our Heart At Work Behaviors guide our interactions with colleagues, customers, and communities, and we're dedicated to fostering a culture that values diversity, equity, and inclusion. As a remote worker, you'll have the flexibility to work from reputed company, while still being connected to reputed company and culture.

Join reputed company

If you're a motivated and reputed company professional looking to reputed company a difference in healthcare, we encourage you to apply for this exciting opportunity. As a Healthcare Fraud Manager, you'll play a critical role in protecting the reputed company of our healthcare system and ensuring that our members receive the care they need. Apply now and join reputed company of dedicated professionals who are bringing their heart to every moment of health.

We anticipate the application window for this opening will reputed company on January 31, 2025. Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws.