UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
The Senior Investigator will be responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. This individual will also data mine, conduct research and analyze providers by utilizing claims data, medical coding guidelines and their keen eye to identify abhorrent medical billing practices and patterns. In addition, the individual will be responsible to conduct investigations which may include field work to perform interviews and obtain medical records/ and other relevant documentation. The Senior Investigator will also act as subject matter expert in researching and communicating their findings both orally and in writing and will be responsible to report any illegal activities in accordance with all applicable laws.
If you are located within the state of LA, you will have the flexibility to telecommute* as you take on some tough challenges.
The SIU Senior Investigator reports directly to the SIU Manager. The primary responsibility of the Senior Investigator is to investigate medium to highly complex cases of fraud, waste and abuse.Under the direction of the SIU Manager, the Senior Investigator's principle responsibilities include:
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
UnitedHealth Group serves the health benefits needs for millions. The impact is huge and the work is historical. Join us and help us protect the integrity of the health care system while doing your life's best work.(sm)
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Sr Investigator, Office Based, Data, Excel, Access, Analyst, Data Investigator, Metairie, LA, Louisiana