Job Description

HealthCare Support is actively seeking a Healthcare Fraud Investigator to fill an opening with a non-profit health plan that provides Medicare and Medi-Cal healthcare services to over 1.5 million members in Rancho Cucamonga, California.
Daily Responsibilities For The Healthcare Fraud Investigator
Responsible for conducting full investigations to proactively prevent, detect, and correct suspected and identified issues of fraud, waste, and abuse in the health care environment, including reporting to State and/or Federal regulatory agencies
Shift: Monday - Friday, 8:30 a.m. - 5:00 p.m.
Required Qualifications For The Healthcare Fraud Investigator
Bachelor’s degree from an accredited institution required (preferably in a related field)
6+ years relevant professional experience in fraud, waste, and abuse investigations, including Federal and State reporting requirements
Preferred Qualifications For The Healthcare Fraud Investigator
Master’s degree from an accredited institution preferred
Benefits For The Healthcare Fraud Investigator
Very low healthcare premiums ($35 – $100 depending on the plan!)
3 ½ weeks of PTO (18 days) & 11 Paid Holidays
Fitness Reimbursement up to $125/a year and on-site fitness facility
Tuition reimbursement after 1 year of employment
457(b) Retirement Plan – matches 3% of base salary
CalPERS Retirement Plan (i.e., pension plan for all employees) – full vesting after 5 years
Pay Details:
$80,059.20 – $95,000 per year
Annual HEDIS Incentive: Up to 10% | They offer annual merit increases up to 5% based upon their individual performance | Relocation: They offer reimbursement depending on where the candidate is coming from (up to $7K in-state); they have more budget for out of state
Interested in being considered?
If you are interested in applying to this position, please click Apply Now
For immediate consideration or if you’d like to stand out, email a copy of your resume to Brandon.schabbel@healthcaresupport.com
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Job Tags

Local area, Immediate start, Relocation, Monday to Friday, Shift work,

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Healthcare Fraud Investigator Job at HealthCare Support, Rancho Cucamonga, CA

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