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General Dynamics Information Technology

Investigative Analyst

General Dynamics Information Technology, Myrtle Point, Oregon, United States, 97458

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Overview Employer Industry: Healthcare Fraud Prevention

Why consider this job opportunity:

Salary up to $115,000

Opportunity for career advancement and growth within the organization

Remote work flexibility, allowing you to work from any location

Comprehensive benefits package, including medical, dental, vision, and 401(k) with company match

Paid leave and holidays, including parental and military leave

Supportive work environment that encourages work/life balance

Responsibilities

Perform analytical tasks to identify fraud, waste, and abuse referrals and leads

Conduct data mining across the partnership using internal tools

Collaborate on the development of HFPP analytic reports

Develop fraud, waste, and abuse referrals for partners based on analytic reports

Interact regularly with partners regarding identified referrals and leads

Qualifications (Required)

BA/BS degree or equivalent experience

5+ years of experience in healthcare claims analysis

Strong oral and written communication skills with the ability to present to management

Expert knowledge of Microsoft Office suite

Working knowledge of HIPAA privacy and security rules

Preferred Qualifications

Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) designation strongly desired

Experience with Tableau, Amazon WorkSpaces, Jira, and Confluence

Certified clinical coding

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

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