Job details
Job type full-time
Full job description
Unitedhealthcare is a company that`s on the riseWe`re expanding in multiple directions, across borders and, most of all, in the way we thinkHere, innovation isn`t about another gadget, it`s about transforming the health care industryReady to make a difference? make yourself at home with us and start doing your life`s best work.(sm)
The senior investigator reports directly to the manager of investigationsThe senior investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuseThe senior investigator will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patternsThe senior investigator is responsible to conduct investigations which may include field work to perform interviews and obtain records and/or other relevant documentation.
Primary responsibilities:
Investigate medium to highly complex cases of fraud, waste and abuse
Detect fraudulent activity by members, providers, employees and other parties against the company
Develop and deploy the most effective and efficient investigative strategy for each investigation
Maintain accurate, current and thorough case information in the special investigations unit’s (siu’s) case tracking system
Collect and secure documentation or evidence and prepare summaries of the findings
Participate in settlement negotiations and/or produce investigative materials in support of the later
Collect, collate, analyze and interpret data relating to fraud, waste and abuse referrals
Ensure compliance of applicable federal/state regulations or contractual obligations
Report suspected fraud, waste and abuse to appropriate federal or state government regulators
Comply with goals, policies, procedures and strategic plans as delegated by siu leadership
Collaborate with state/federal partners, at the discretion of siu leadership, to include attendance at work-groups or regulatory meetings
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required qualifications:
Undergraduate degree or associates degree plus 2+ years of equivalent work experience with healthcare related employment
Intermediate level of proficiency in microsoft excel and word
Intermediate level of knowledge with local, state/federal laws and regulations pertaining to healthcare fraud, waste and abuse investigations (fwa requirements)
Must live within the vicinity of iselin, nj
Preferred qualifications:
Accredited health care fraud investigator (ahfi)
Certified fraud examiner (cfe)
Certified professional coder (cpc)
Active affiliation with the national health care anti-fraud association (nhcaa)
Specialized knowledge/training in healthcare fwa investigations
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status
Careers with unitedhealthcareLet`s talk about opportunityStart with a fortune 5 organization that`s serving more than 85 million people already and building the industry`s singular reputation for bold ideas and impeccable executionNow, add your energy, your passion for excellence, your near-obsession with driving change for the betterGet the picture? unitedhealthcare is serving employers and individuals, states and communities, military families and veterans where ever they`re found across the globeWe bring them the resources of an industry leader and a commitment to improve their lives that`s second to noneThis is no small opportunityIt`s where you can do your life`s best work.(sm)
Diversity creates a healthier atmosphere: unitedhealth group is an equal employment opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Unitedhealth group is a drug-free workplaceCandidates are required to pass a drug test before beginning employment.
Keywords: investigator, investigations, insurance, analysis, fraud, healthcare, health care, waste & abuse, fwa, fraud examiner, health insurance, health fraud, insurance fraud, iselin, new jersey, nj, unitedhealth group, uhg, unitedhealthcare, uhc
