Source Job

US

  • Conduct fraud, waste, and abuse investigations and audits.
  • Prepare reports and correspondence of a confidential nature.
  • Assist in developing FWA program documentation and training.

Research Investigation Problem-solving Communication Compliance

2 jobs similar to Special Investigations Unit Investigator

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US

  • Identify and investigate potential healthcare fraud, waste, and abuse through data analysis and claims review.
  • Proactively monitor provider activity to detect patterns, anomalies, and emerging trends.
  • Utilize Excel (advanced proficiency required) and other tools to support investigations and legal proceedings.

Cotiviti is a healthcare analytics company that detects and prevents fraud, waste, and abuse through data-driven solutions. The company offers a competitive benefits package and supports a work-at-home culture with a focus on investigation and compliance.

$61,000–$74,000/yr
US 4w PTO

  • You identify systemic patterns in suspicious customer and merchant behavior and conduct investigations.
  • You review and evaluate new merchant partners during onboarding to ensure proper licensing and alignment.
  • You manage inbound fraud claims and perform ad hoc research into uncommon scenarios.

We offer flexible lease-to-own financing to non-prime consumers, helping them pay for big purchases over time. Our 200+ teammates enjoy inspiring and challenging work that accelerates their careers.