Senior FWA Investigator - Riverside California

Company: VirtualVocations
Location: Riverside, California
Posted On: 02/06/2025

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 More...

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