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SIU Investigative III

Mitchell Martin

Los Angeles, CA

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JOB DETAILS
SALARY
$42.73–$55.53 Per Hour
SKILLS
Analysis Skills, Certified Financial Examiner (CFE), Communication Skills, Criminal Justice, Data Analysis, Data Management, Data Sets, Documentation, Fraud Investigation, Healthcare, Maintain Compliance, Mentoring, Onboarding, Procedure Implementation, Regulations, Research Skills
LOCATION
Los Angeles, CA
POSTED
30 days ago
Title: SIU Investigative III           

Location:  Los Angeles, CA
Position Type: Contract

Compensation
Pay Range:$42.73-$55.53 Per Hr

Description
This role involves conducting complex investigations into potential healthcare fraud and abuse in a contract setting in Los Angeles, CA. 
The position requires expertise in data analysis and investigative techniques, and the ability to mentor junior staff. 
Candidates should have experience with general office software.
Perform in-depth evaluations of potential fraud and abuse cases.
Develop complex investigations involving high dollar amounts and sensitive issues.
Lead on-site audits and provide hands-on training in investigative techniques.
Conduct investigation-related training and act as a mentor.
Ensure adherence to policies and procedures.
Maintain and compile investigation documentation.
Engage with industry meetings and trainings to stay updated on trends.

Key Responsibilities
Investigate allegations and complex issues related to healthcare fraud.
Utilize data analytics to detect unusual billing patterns.
Write comprehensive reports documenting interviews and findings.
Participate in hearings and testify in court proceedings.
Develop and maintain strong working relationships with regulatory bodies.

Qualifications
Bachelor's Degree in Criminal Justice or related field.
Minimum of 5 years experience in healthcare fraud investigation.
Experience conducting fact-finding interviews and managing large data sets.
Excellent research, analytical, and communication skills.
Preferred certifications: AHFI, CFE, CPC.

Contact Authorization:
By applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Message and data rates may apply for texts. Carriers are not liable for delayed or undelivered messages. You can access our privacy policy here https://www.mitchellmartin.com/privacy-policy. 

Onboarding Expectations
Learn more about our Onboarding Process here https://youtu.be/rjV_NFYjyY4 

EEO Statement
Learn more about our EEO policy here https://www.mitchellmartin.com/eoe-statement  

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About the Company

M

Mitchell Martin

OUR FOCUS IS GROWTH

It’s not just about filling job openings.  It’s about enabling growth and inspiring success.  That’s what we do.

Mitchell Martin is one of the nation’s largest staffing companies, with offices throughout the US as well as in India and the Philippines.  We help drive success for both people and companies by helping them achieve positive growth.   We do this by building strong relationships and developing a deep understanding of the people we work with, in order to facilitate the best matches for both sides of the equation.    

COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
1984
WEBSITE
https://www.mitchellmartin.com

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