Overview

Senior Investigator Fraud Analysis Jobs in Saint-Paul, Canada at Minnesota Direct Care and Treatment

Position: Senior Investigator for Fraud Analysis
Drive fraud prevention efforts at the Minnesota Department of Human Services as a Senior Investigator. Utilize your investigative skills to combat waste and ensure integrity in Medical Assistance programs.

As a Senior Investigator, you’ll play an essential role in independently leading investigations into fraud, waste, and misuse by service providers. This position collaborates with a team to initiate and resolve cases that may involve legal action and monetary recoveries. Your expertise will minimize opportunities for fraudulent activities in Minnesota Health Care Programs.

Key Responsibilities:

• Conduct independent investigations into suspected fraud cases

• Collaborate with colleagues for case strategy development

• Analyze billing practices to identify areas of concern

• Create reports to summarize investigative findings

• Implement strategies for fraud detection and prevention

Requirements:

• Minimum of two years reviewing claims under MHCP

• Three years in regulatory investigation roles

• Strong analytical skills with healthcare data

• Proven ability in case documentation and reporting

• Familiarity with laws impacting healthcare investigations

Leverage your investigatory skills to safeguard Minnesota healthcare services and enhance accountability in the state programs.
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Title: Senior Investigator Fraud Analysis

Company: Minnesota Direct Care and Treatment

Location: Saint-Paul, Canada

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