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 managing health care fraud and internal fraud investigations with a focus on Medicare; managing and training investigators and support staff; establishing and maintaining liaison with health care providers and law enforcement; and coordinating anti-fraud activities with other departments at HCSC.JOB REQUIREMENTS:
- Bachelor Degree.
- 5 years law enforcement/investigation experience, including supervision of cases and investigators.
- 1 year of experience in a management/supervisory or leadership capacity
- Organizational skills, results oriented with demonstrated leadership skills.
PREFERRED JOB REQUIREMENTS:
- Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder (CPC), and/or Certified Fraud Examiner (CFE).
- Medicare Fraud, Waste and Abuse investigations experience.
- Extensive knowledge of Medicare rules and regulations.
- Experience liaising with CMS and federal law enforcement (U.S. Attorneys' Offices, the Department of Health and Human Services Office of Inspector General (HHS-OIG), FBI).
HYBRID role requires reporting to the office 3 days per week.
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Compensation: $90,900.00 - $164,200.00
Exact compensation may vary based on skills, experience, and location
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.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
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