Investigator, Specical Investigation Unit-Health Plan

Cook Children's Health Care System
Fort Worth, TX
Category Administration
Job Description

Support the SIU Manager in preventing, detecting, investigating, and reporting Medicaid Fraud, Waste, and Abuse Program regulations. Generate analysis and reports for investigations and medical record audits to identify possible fraud.

Requirements

  • Bachelor's degree
  • Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) certification
  • Previous law enforcement experience with 3 years Medicaid or CHIP fraud, waste and abuse investiga...

    Requirements: Bachelor's degree, certification in fraud examination, or 3+ years of law enforcement experience