Lead Fraud Investigator Job Listing at HCSC in Chicago, IL (Job ID R0037007)

Description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for identifying, developing, and managing complex, high-impact healthcare fraud investigations resulting in criminal and/or civil prosecution; and may be responsible for establishing and maintaining close liaison, as indicated in Plan design, with internal department personnel, and government officials including law enforcement to further SID investigations and referrals for prosecution of healthcare investigations

JOB REQUIREMENTS:

• Bachelor's Degree
• 7 years law enforcement experience (local, state, or federal) or 7 years fraud investigative experience.
• Experience directing complex fraud investigations which result in criminal or civil prosecutions.
• Experience planning and conducting interviews which develop significant information in furtherance of complex fraud, waste, and abuse investigations.
• Familiarity with state and federal laws applicable to health care fraud.
• Ability to develop effective liaison relations which facilitate case identification, investigation, and prosecution.
• Ability to independently prepare reports of interview and other documentation accurately reflecting investigative activity and results.
• Clear and concise verbal and written communication skills.
• Self-motivated, results oriented with demonstrated leadership skills.

PREFERRED REQUIREMENTS:

• Accredited Health Care Fraud Investigator
• Certified Professional Coder
• Certified Fraud Examiner

Please note that this role is HYBRID with an in office requirement of 3 days a week

#LI-Hybrid

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

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