Senior Investigator (1)

Summary

Conducting comprehensive investigations into healthcare provider compliance, the contract-to-hire Senior Investigator will work remotely to analyze documentation, draft detailed reports, and mentor junior investigators while ensuring adherence to regulatory standards.Key responsibilitiesConducts and oversees investigations into potential violations of contractual obligations and regulatory requirementsDrafts and reviews investigative reports and findings documents for internal and client useIdentifies trends and compliance gaps through in-depth analysis of provider operations and documentationRequired qualificationsMinimum of four years of post-education work experience in a corporate environment, with at least three years performing investigations directlyBachelor's degree in public policy, public health, health administration, business, or a related field from an accredited institutionWorking knowledge of compliance laws and healthcare industry practicesFamiliarity with health insurance cost-sharing requirements for Medicare, Medicaid, and private insuranceDetail-oriented with strong writing skills

Job Description

Conducting comprehensive investigations into healthcare provider compliance, the contract-to-hire Senior Investigator will work remotely to analyze documentation, draft detailed reports, and mentor junior investigators while ensuring adherence to regulatory standards.Key responsibilitiesConducts and oversees investigations into potential violations of contractual obligations and regulatory requirementsDrafts and reviews investigative reports and findings documents for internal and client useIdentifies trends and compliance gaps through in-depth analysis of provider operations and documentationRequired qualificationsMinimum of four years of post-education work experience in a corporate environment, with at least three years performing investigations directlyBachelor's degree in public policy, public health, health administration, business, or a related field from an accredited institutionWorking knowledge of compliance laws and healthcare industry practicesFamiliarity with health insurance cost-sharing requirements for Medicare, Medicaid, and private insuranceDetail-oriented with strong writing skills