Vacancy Description
**Become a part of our caring community**
The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Fraud and Waste Professional coordinates investigation with law enforcement authorities. Assemble evidence and documentation to support successful adjudication. Conduct on-site audits of provider records ensuring appropriateness of billing practices. Prepare complex investigative and audit reports. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receive guidance where needed. Follow established guidelines/procedures.
**Use your skills to make an impact**
**WORK STYLE:*...
The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Fraud and Waste Professional coordinates investigation with law enforcement authorities. Assemble evidence and documentation to support successful adjudication. Conduct on-site audits of provider records ensuring appropriateness of billing practices. Prepare complex investigative and audit reports. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receive guidance where needed. Follow established guidelines/procedures.
**Use your skills to make an impact**
**WORK STYLE:*...
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