Special Investigations Unit Investigator

CareOregon

Remote regions

US

Salary range

$74,250–$90,750/yr

Benefits

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Essential Responsibilities:

  • Assist in developing and operating an effective FWA program.
  • Perform routine FWA investigations, audits, and corrective actions.
  • Prepare reports of audit findings and recommendations.

Working Conditions:

  • Indoor/Office environment with occasional travel.
  • Work from home location.
  • Ability to bend and speak clearly for at least 3 hours/day.

Skills and Abilities:

  • Strong research, investigative, and problem-solving skills.
  • Effective computer skills including MS Office Suite.
  • Ability to plan, organize, and manage work projects.

Knowledge, Skills and Abilities Required:

  • Understanding of healthcare fraud, waste, and abuse.
  • Knowledge of State and Federal compliance and FWA requirements.
  • Understanding of investigative techniques including data analytics and evidence gathering.

CareOregon

CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. They offer a comprehensive benefits package and emphasize equity, diversity, and inclusion.

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