Special Investigations Unit Investigator II (Healthcare)
The SIU Investigator II is responsible for investigating and analyzing suspected cases of fraud, waste, and abuse within the healthcare environment. This role conducts comprehensive investigations, leveraging data analytics and other sources to identify unusual billing patterns and potential violations. The position ensures compliance with state and federal regulations, including CMS, HHS-OIG, DMHC, and DHCS requirements, and supports the organization's Fraud, Waste, and Abuse (FWA) Program. Duties include reporting findings to regulatory agencies and implementing measures to prevent, detect, and correct fraudulent activities.
Education & Requirements
Salary:
$80,059.20 - $106,059.20 USD Annually
Hybrid Schedule, Monday & Friday are work from home days, Tuesday - Thursday onsite in Rancho Cucamonga, CA.
Medical Insurance with Dental and Vision
Career and professional development
CalPERS retirement, 457(b) option with a contribution match
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