Senior FWA Investigator
Company: VirtualVocations
Location: Riverside
Posted on: February 4, 2025
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Job Description:
A company is looking for a Senior FWA Investigator responsible
for identifying, investigating, and preventing healthcare fraud,
waste, and abuse.
Key Responsibilities
Conduct investigations of fraud, waste, and abuse in dental and
vision networks
Develop and maintain investigative tools and dashboards for
tracking provider patterns
Prepare and present investigative findings and reports to relevant
stakeholders
Required Qualifications
Bachelor's Degree or 5+ years of experience in healthcare fraud,
waste, and abuse investigations
Knowledge of fraud, waste, and abuse regulations
3+ years of experience in the healthcare insurance industry
2+ years of experience in ICD-10, CPT, or CDT coding
Accredited Health Care Fraud Investigator (AHFI) or Certified Fraud
Examiner (CFE) required
Keywords: VirtualVocations, Highland , Senior FWA Investigator, Other , Riverside, California
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