SIU Field Investigator - United States
2 days ago

Job Summary:
We are seeking a skilled SIU Field Investigator to join our team at Presbyterian.This role supports Program Integrity Department initiatives and is responsible for conducting announced and unannounced provider onsite audits related to suspected or actual healthcare fraud, waste, or abuse (FWA). The ideal candidate should have proficient experience in healthcare claims FWA investigation with government funded programs like Medicaid, Medicare and the Marketplace.,
- Maintain accurate case information in the SIU case management system.
- Strong analytical skills required as this position will require interface with health plan claims system.
Job description
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