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,

Similar Jobs

Pride Health

Certified Medical Coder Job at Pride Health

...Arrangement: Onsite Training (12 weeks) Remote Pay: $35/hr to $37/hr Contract:... ...medical records and ensure proper documentation supports code selection Research and... ...and regulatory rules Collaborate with clinical staff as needed to clarify documentation...

ektello

Brand & Creative Solutions Program Manager Job at ektello

...Title: Brand & Creative Solutions Program Manager Client: Social media/visual discovery company Duration: 8 months contract Work... ..., this role requires a strategic, autonomous leader with strong full-funnel advertising expertise and experience operating at the intersection...

24 Seven Talent

Senior Technical Designer Job at 24 Seven Talent

...collaboration from proto to TOP. Ideal for someone who thrives in a fast-paced, hands-on environment. Key Responsibilities: Engineer tech packs with a focus on cost-effective, first-pass fit approvals Lead model fittings, evaluate samples, and align with buyers...

Community Health Net

Optometrist (OD)- Licensed in PA or eligible- Erie, PA Job at Community Health Net

...Optometrist (Full Time) Federally Qualified Heath Center Our Mission At Community Health Net, our mission is to improve the quality of life in our region by delivering professional, compassionate, and dignified healthcare to all. We are committed to protecting...

Carlisle Construction Materials

Regional Sales Manager-Commercial Roofing Job at Carlisle Construction Materials

...Construction Materials (CCM) has an exciting opportunity for a Regional Sales Manager to join our Syntec team for the South Central... ...and market expansion. This position directly oversees the Technical Sales Representatives within the assigned region. Standard business...

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

Qkl1YXEyOUZBalNOUVBJcURSZlR6RXo1OGc9PQ==