Job Description

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 [email protected]

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,

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