VirtualVocations
A company is looking for an AVP, Special Investigations Unit.
Key Responsibilities
Lead and mentor a team in fraud detection, prevention, and recovery efforts
Develop fraud detection strategies using data analytics and manage proactive fraud prevention programs
Oversee investigative procedures, ensure compliance with regulations, and collaborate with law enforcement and regulatory bodies
Required Qualifications
Minimum 7+ years of experience in healthcare fraud detection, investigation, or auditing
Bachelor's degree preferred in healthcare administration, finance, criminal justice, or related field
In-depth knowledge of healthcare systems claims processing and regulatory requirements
Minimum 5+ years in a leadership role
Relevant certifications (e.g., Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) are preferred)
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Key Responsibilities
Lead and mentor a team in fraud detection, prevention, and recovery efforts
Develop fraud detection strategies using data analytics and manage proactive fraud prevention programs
Oversee investigative procedures, ensure compliance with regulations, and collaborate with law enforcement and regulatory bodies
Required Qualifications
Minimum 7+ years of experience in healthcare fraud detection, investigation, or auditing
Bachelor's degree preferred in healthcare administration, finance, criminal justice, or related field
In-depth knowledge of healthcare systems claims processing and regulatory requirements
Minimum 5+ years in a leadership role
Relevant certifications (e.g., Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) are preferred)
#J-18808-Ljbffr