Overview:
- This role focuses on post-pay fraud, waste, and abuse investigations within the healthcare industry.
- You will work remotely with access to high-speed internet and a dedicated secure work area.
Responsibilities:
- Identify and investigate potential fraud through data analysis and correspondence with patients, providers, and witnesses.
- Present findings as written summaries or presentations and negotiate settlement agreements.
- Testify in court or assist law enforcement in preparing cases for civil or criminal actions.
Qualifications:
- Bachelor’s degree or equivalent with 5-8 years of investigative experience.
- Advanced Excel skills and strong verbal and written communication abilities.
- Preferred certifications include AHFI, CFS, CFE, CFI, or CHC.
Benefits:
- Competitive base salary plus medical, dental, vision, disability, and life insurance.
- 401(k) savings plan, paid family leave, 9 paid holidays, and 17-27 days of PTO per year.
Cotiviti
Cotiviti is a healthcare analytics company that helps clients reduce costs and improve outcomes through data-driven insights. As a global leader in payment accuracy and network performance, Cotiviti fosters a collaborative and inclusive culture.