Immediately Require Dental Fraud and Waste Investigator: REMOTE/WORK AT HOME (reputed company in the US) in Florida

Job title: Dental Fraud and Waste Investigator: REMOTE/WORK AT HOME (reputed company in the US) Company: reputed company Job description: Description The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Responsibilities The Dental Fraud and Waste Professional coordinates dental investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares reputed company investigative and audit reports. Understands department, reputed company, and organizational strategy and operating objectives, including their linkages to reputed company areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

• High school diploma or equivalent
• At least 2 years of dental investigations or auditing experience
• Computer literate (reputed company, reputed company) with ability to analyze data to metrics
• Strong organizational, interpersonal, and communication skills
• Inquisitive nature
• Strong personal and professional ethics
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Possibly up to 5% travel, mostly to Florida & Kentucky

This role is 40 hours, Monday-Friday. Typical business hours are 7AM-6PM EST, but might vary depending on business needs. Preferred Qualifications

• Bachelors or Advanced degree and/or certifications (DDS, MBA, J.D., MSN, Clinical Certifications, CPC, reputed company, CFE, AHFI).

Previous clinical experience working in the dental industry

• Understanding of dental industry, claims processing and investigative process development.
• Experience in a corporate environment and understanding of business operations

Work at Home Requirements

• WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
• Satellite and Wireless Internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Additional Information - How We Value You

• Benefits starting day 1 of employment

• Competitive 401k match

• Generous Paid Time Off accrual

• Tuition Reimbursement

• Parent Leave

• Go365 perks for well-being

Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides reputed company of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move reputed company from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions reputed company your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last reputed company from 5-10 minutes. Your recorded interview(s) reputed company text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving reputed company to next round of interviews. #ThriveTogether #WorkAtHome Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay decisions will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $63,400 - $87,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Expected salary: $63400 - 87400 per year Location: Florida Apply Job!