Fraud Investigations Consultant
$85k/y-$126k/y
2 days ago
Highlight
OnsiteFull-timeMid
Summary
Blue Cross Blue Shield Association is seeking a Fraud Investigations Consultant to join their team in Washington, DC. The role involves managing and conducting investigations related to fraud, theft, and other criminal activities within the organization.
About the Role
As a Fraud Investigations Consultant, you will develop and implement fraud prevention programs, collaborate with law enforcement and legal teams, analyze data to identify fraudulent activities, and conduct training sessions on fraud awareness. Your responsibilities will include coordinating investigative efforts, preparing documentation, and providing expert guidance on fraud detection techniques.
About You
Required:
- Bachelor's Degree or equivalent work experience.
- 4+ years of experience in law enforcement, Healthcare Fraud Investigations, nursing, healthcare plan operations, or related fields.
Preferred:
- AFI certification.
- Five or more years of experience in law enforcement or healthcare fraud investigations.
- Experience in analyzing complex information sets.
- Prior federal, state, or local law enforcement experience.
- Prior health care fraud investigative experience and/or clinical experience.
Benefits
- Comprehensive benefits package including paid time off, 11 holidays, medical/dental/vision insurance, and generous 401(k) matching.
- Annual bonus incentive pay.
Blue Cross Blue Shield Association
The Blue Cross and Blue Shield Association is a national federation of independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. BCBSA provides health care insights through The Health of America Report series and the national BCBS Health Index.
Washington, DC