Senior Investigator - Remote in North Carolina
Company: UnitedHealthcare
Location: Raleigh
Posted on: April 25, 2024
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Job Description:
At UnitedHealthcare, we're simplifying the health care
experience, creating healthier communities, and removing barriers
to quality care. The work you do here impacts the lives of millions
of people for the better. Come build the health care system of
tomorrow, making it more responsive, affordable, and equitable.
Ready to make a difference? Join us to start Caring. Connecting.
Growing together.
The Senior Investigator reports directly to the Manager of
Investigations. The Senior Investigator is responsible for
identification, investigation and prevention of healthcare fraud,
waste, and abuse. The Senior Investigator will utilize claims data,
applicable guidelines, and other sources of information to identify
aberrant billing practices and patterns. The Senior Investigator is
responsible to conduct investigations which may include field work
to perform interviews and obtain records and/or other relevant
documentation.
If you reside in North Carolina, you'll enjoy the flexibility to
telecommute as you take on some tough challenges.
Primary Responsibilities:
Required Qualifications:
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location,
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups, and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission.
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.
Keywords: UnitedHealthcare, Jacksonville , Senior Investigator - Remote in North Carolina, Other , Raleigh, North Carolina
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