Lead Fraud Investigator
Apply NowCompany: Health Care Service Corporation
Location: Chicago, IL 60629
Description:
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for identifying, developing and managing complex, high-impact health care fraud investigations resulting in criminal and/or civil prosecution. May be responsible for establishing and maintaining close liaison, as indicated in plan design, with departments/personnel and law enforcement representatives to further the SID's investigation and referral for prosecution of health care fraud cases.
JOB REQUIREMENTS:
PREFERRED JOB QUALIFICATIONS:
Please note that this role is HYBRID with an in-office requirement of 3 days a week
# LI-LK1
# LI-Hybrid
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$60,300.00 - $133,400.00
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for identifying, developing and managing complex, high-impact health care fraud investigations resulting in criminal and/or civil prosecution. May be responsible for establishing and maintaining close liaison, as indicated in plan design, with departments/personnel and law enforcement representatives to further the SID's investigation and referral for prosecution of health care fraud cases.
JOB REQUIREMENTS:
- Bachelors Degree
- 7 years law enforcement experience (local, state, or federal) or 7 years fraud investigative experience.
- Experience directing complex fraud investigations which result in criminal or civil prosecutions.
- Experience planning and conducting interviews which develop significant information in furtherance of complex fraud, waste, and abuse investigations.
- Familiarity with state and federal laws app
PREFERRED JOB QUALIFICATIONS:
- Experience in Medicare investigations.
- Experience working within a Health Care Company's Special Investigations Unit or federal law enforcement.
- Experience in conducting complex investigations which lead to corrective actions.
- Proven ability to conduct investigations in a respectful and professional manner.
Please note that this role is HYBRID with an in-office requirement of 3 days a week
# LI-LK1
# LI-Hybrid
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$60,300.00 - $133,400.00