Special Investigations Investigator, Consultant
Ascendiun
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- Location
- Oakland, CA
- Job type
- Full time
- Posted
- Oct 22
- 2 days ago
Career path
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About the company
Ascendiun
Hospital & health care · 2 to 10 employees
What you'll do
- Conduct investigations in accordance with company policies and procedures
- Conduct investigations in compliance with applicable laws and regulations
- Travel to provider locations to conduct onsite provider audits as needed
What you need
- Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
- Requires 7 years of prior relevant experience related to fraud, waste, and abuse
- Requires excellent presentation/interpersonal/negotiation skills
- Requires proficiency in MS Office and data mining tools
- Requires extensive experience in health care, compliance, privacy, legal services, and or investigations
- Requires excellent analytical and thinking skills
- Requires excellent written and verbal communication and negotiation without guidance
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Read the full posting here
The Special Investigations Unit (SIU) team s responsible for preventing, detecting, investigating, and resolving health care fraud, waste, and abuse. The Special Investigations Investigator, Consultant report to the SIU manager. In this role you will conduct investigations in accordance with company policies and procedures and in compliance with all applicable laws and regulations; for all lines of business. This role requires travel to provider locations to conduct onsite provider audits, as needed.