Sr. Fraud Investigator (SIU)

Kelsey-Seybold ClinicPearland, TX
503d

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About The Position

The Sr. Fraud Investigator (SIU) plays a crucial role in the implementation and daily operations of the Compliance and Fraud, Waste, and Abuse (FWA) Program for Kelsey-Seybold Clinic's Medicare Advantage and Prescription Drug health plan programs. This position is responsible for identifying, investigating, and preventing healthcare fraud, waste, and abuse, focusing on medium to highly complex cases. The investigator will conduct fieldwork, perform interviews, and gather relevant documentation while ensuring confidentiality and compliance with applicable laws.

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