Senior Fraud Investigator

Company Description For nearly two decades, Advize has been at the forefront of auditing large data sets to maximize ROI for payers. Now, we are focused on building relationships with providers using data and best practices. Our team leverages Big-4 Data Analytics and OIG best practices to conduct coding, billing audits for waste and abuse, and fraud examination. Our services include secure record retrieval, storage, audit result delivery, and legal support, all performed with the highest ethical and confidentiality standards. Role Description This is a full-time remote role for a Senior Fraud Investigator. The Senior Fraud Investigator will be responsible for performing fraud examinations, analyzing financial data, conducting investigations, and collaborating with various healthcare personnel and patients. The investigator will document their findings, generate reports, and provide expert testimony when needed. The role demands adherence to ethical standards, confidentiality requirements, and professional conduct at all times. Qualifications Fraud Prevention and Fraud Investigations skillsStrong Analytical SkillsFinance expertise and experience in Law EnforcementExcellent written and verbal communication skillsAbility to work independently and remotelyExperience with Big-4 Data Analytics and OIG best practices is a plusBachelor's degree in Criminal Justice, Finance, or a related field