Fraud, Waste & Abuse Investigator
VIVA HEALTHHighlight
Summary
About the Role
About You
- Bachelor’s degree in Business Administration, Law Enforcement, Law, Management Information Systems, Health Information Management, or related field.
- 4 years’ experience in a position gathering, analyzing, and presenting data, findings, and recommendations.
- Accredited Healthcare Fraud Investigator and/or Certified Fraud Examiner or ability to obtain certification within first year.
- Knowledge of database query tools such as Crystal Reports, MS Access, and MSSQL.
- Excellent analytical skills for trending, forecasting, and summarizing large datasets.
- Possess a high degree of discretion and ability to maintain confidentiality.
- Ability to adapt to ever changing business situations quickly and accurately.
- Ability to aggregate and present complex information or data through appropriate data visualization to all levels of the organization.
- Excellent written and oral communication skills.
- Experience in FWA in a health plan or banking industry is strongly preferred.
- Project Management Certification (PMP).
Benefits
- Comprehensive Health, Vision, and Dental Coverage
- 401(k) Savings Plan with company match and immediate vesting
- Paid Time Off (PTO)
- 9 Paid Holidays annually plus a Floating Holiday to use as you choose
- Tuition Assistance
- Flexible Spending Accounts
- Healthcare Reimbursement Account
- Paid Parental Leave
- Community Service Time Off
- Life Insurance and Disability Coverage
- Employee Wellness Program
- Training and Development Programs to develop new skills and reach career goals
- Employee Assistance Program
Founded in 1995, VIVA HEALTH is now the preferred healthcare provider for close to 300 Alabama companies and more than 100,000 members and growing. With VIVA HEALTH, you get much more than affordable health insurance. You get total peace-of-mind and personalized customer service based right here in Alabama. Not to mention, a high quality plan from a company you can trust. As an affiliate of the UAB Health System, you not only have access to a world-class facility in UAB, but you can also access more than 70 additional hospitals statewide, including major hospitals in Birmingham, Huntsville, Mobile and Montgomery. In addition, you receive worldwide coverage. So it doesn't matter where you are, if you get sick or have an emergency, VIVA HEALTH has you covered. Customer Service: 800-294-7780