Government Careers

  • Fraud Investigator Hybrid/Remote, Protect Members

  • Blue Cross & Blue Shield of Rhode Island
  • Providence, Rhode Island 02912 United States View Map

Summary

Blue Cross & Blue Shield of Rhode Island (BCBSRI) seeks a dedicated Fraud Investigator to respond to reports of potential fraud and conduct thorough investigations across members, providers, and accounts. You will analyze complex data patterns, apply regulations, and collaborate with external agencies to uncover schemes.The role requires 3–5 years in health-care data/audit, AHFI/CFE or willingness to obtain, and strong analytical and communication skills.#J-18808-Ljbffr

Job Description

Blue Cross & Blue Shield of Rhode Island (BCBSRI) seeks a dedicated Fraud Investigator to respond to reports of potential fraud and conduct thorough investigations across members, providers, and accounts. You will analyze complex data patterns, apply regulations, and collaborate with external agencies to uncover schemes.The role requires 3–5 years in health-care data/audit, AHFI/CFE or willingness to obtain, and strong analytical and communication skills.#J-18808-Ljbffr

Government Careers

Government Careers

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