The
Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Senior Investigator is responsible for conducting investigations which may include fieldwork to perform interviews and obtain records and/or other relevant documentation.
Schedule: Monday-Friday Standard Business Hours
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Preference for those residing in New Jersey.
Primary Responsibilities:- Assess complaints of alleged misconduct received within the company
- Investigate medium to highly complex cases of fraud, waste and abuse
- Detecting 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 latter
- Communicate effectively, including written and verbal forms of communication
- Develop goals and objectives, track progress and adapt to changing priorities
- 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 workgroups or regulatory meetings
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:- Bachelor's degree OR Associate's degree with 2+ years of equivalent work experience and healthcare related employment
- 2+ years of experience in healthcare, fraud, waste and abuse (FWA)
- 2+ years of experience in state or federal regulatory FWA requirements
- 2+ years of experience in analyzing data to identify fraud, waste and abuse trends
- Intermediate level of proficiency in Microsoft Excel and Word
- Ability to travel up to 25% of the time, as needed
- Ability to participate in legal proceedings, arbitration and depositions at the direction of management
- Access to reliable transportation & valid US driver's license
Preferred Qualifications:- Demonstrated an intermediate level of knowledge in health care policies, procedures and documentation standards or 2-5 years of experience
- Demonstrated intermediate level of skills in developing investigative strategies or 2-5 years of experience
- Specialized knowledge/training in healthcare FWA investigations
- National Health Care Anti-Fraud Association (NHCAA)
- Accredited Health Care Fraud Investigator (AHFI)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
#RPO #GREEN
