SIU Investigator

📋 Description

• Identify and investigate suspected healthcare fraud and abuse.
• Manage investigative caseload from intake to resolution.
• Conduct data mining, analysis, sampling, and records requests.
• Document findings with reports, tables, graphs, and logs.
• Monitor providers with findings and track behavior change.
• Present FWA education to Oscar teams.

🎯 Requirements

• 3+ years in healthcare fraud investigation or professional investigations.
• 3+ years with applicable fraud statutes, regulations, and federal recoupment guidelines.

🎁 Benefits

• Remote-friendly role with occasional travel.
• Medical, dental, and vision benefits.
• 401(k) plan with company contributions and paid time off.
• Unlimited vacation program and inclusive culture.