Investigator, Special Investigation Unit
Location: Beaverton, Oregon, United States
Providence Health Plan welcomes 100% remote work for residents of the following States: Washington Oregon California
Industry: Healthcare / Health Services
Job Category: Medical / Health - Administration
Compensation
Base Salary - USD $57,949 to $90,396
Full-time
Benefits - Full
Candidate Details
5+ to 7 years experience
Seniority Level - Mid-Senior
Management Experience Required - No
Minimum Education - Bachelor's Degree
Providence Health Plan is calling an Investigator, Special Investigation Unit who will:
- Support timely completion of compliance related audits and investigations of the Special Investigations Unit (SIU) at the Health Plan
- Collaborate with and learn from subject matter experts to identify, investigate and correct fraudulent and/or abusive billing and coding practices, which may advance in complexity with experience
- Leverage credible sources of information from Internet research in case preparation
- Proactively learns and applies data analysis related to fraud risk identification and prevention
- Able to manage a workload with multiple cases and audits simultaneously
Job Type: Full-time
Pay: $36.93 - $45.00 per hour
Expected hours: 8 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Paid time off
- Retirement plan
Experience level:
Healthcare setting:
Schedule:
Experience:
- Military: 1 year (Preferred)
- Surveillance: 1 year (Preferred)
License/Certification:
- Driver's License (Preferred)
Work Location: Remote