Government Careers

  • Senior Fraud Investigator

  • CareSource
  • New York, New York 10261 United States View Map

Summary

CareSource is seeking an experienced Senior SIU Investigator to lead complex healthcare fraud investigations. You will analyze provider billing patterns, coordinate audits, and develop action plans with cross-functional teams to ensure regulatory compliance.Strong writing and interview skills are essential. The role requires a deep understanding of Medicaid/Medicare guidelines, CPT/HCPCS/ICD coding, and the ability to present findings to legal and regulatory partners.#J-18808-Ljbffr

Job Description

CareSource is seeking an experienced Senior SIU Investigator to lead complex healthcare fraud investigations. You will analyze provider billing patterns, coordinate audits, and develop action plans with cross-functional teams to ensure regulatory compliance.Strong writing and interview skills are essential. The role requires a deep understanding of Medicaid/Medicare guidelines, CPT/HCPCS/ICD coding, and the ability to present findings to legal and regulatory partners.#J-18808-Ljbffr

Government Careers

Government Careers

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