Healthcare Fraud Investigator

CGS
Full-time
Los Angeles, CA / Remote / Hybrid / San Francisco, CA
$85,000 - $105,000
Posted on a month ago

Job Description

CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large Government Project. The role involves analyzing data, reviewing records, developing case referrals, and assisting attorneys with litigation related to healthcare fraud, waste, and abuse.

Responsibilities

  • Review and analyze data using Microsoft Excel
  • Review financial and legal documents and summarize contents
  • Develop HCF case referrals meeting agency standards
  • Analyze data for fraud, waste, and abuse
  • Evaluate referrals and plan information gathering
  • Advise attorneys on case merits and weaknesses
  • Assist in developing new referrals and training
  • Conduct witness interviews and prepare summaries

Requirements

  • Four-year undergraduate degree in related field
  • Minimum three years of experience in healthcare, fraud, or investigative work
  • Proficiency in Microsoft Office applications
  • Proficiency in analyzing healthcare data
  • Strong communication skills
  • U.S. Citizenship
  • Ability to obtain Public Trust Clearance

Benefits

  • No benefits