AVP Special Investigations Unit - Fort Collins Colorado

Company: VirtualVocations
Location: Fort Collins, Colorado
Posted On: 01/28/2025

A company is looking for an AVP, Special Investigations Unit.



Key Responsibilities

Lead and mentor a team in fraud detection, prevention, and recovery efforts
Develop and implement fraud detection strategies using data analytics and conduct risk assessments
Oversee investigative procedures and ensure compliance with regulatory requirements


Required Qualifications

Minimum 7+ years of experience in healthcare fraud detection, investigation, or auditing
Bachelor's degree preferred in healthcare administration, finance, criminal justice, or related field
In-depth knowledge of healthcare systems claims processing and regulatory requirements
Minimum 5+ years in a leadership role
Preferred certifications include Certified Fraud Examiner (CFE) or accredited healthcare fraud investigator (AHFI) More...

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