Healthcare Fraud Investigator - Case Development- Remote

Cigna

Remote, US
Base: $68,300 - $113,900 usd yearly; bonus/equity:...
Fully remote
3+ years healthcare insurance investigation experience
Strong analytical research and problem-solving skills
Proficiency with microsoft excel and word
Cigna is seeking a Healthcare Fraud Investigator for a remote position within their Special Investigations Unit. The role focuses on identifying and mitigating healthcare fraud through investigative techniques and data analysis, requiring strong analytical skills and experience in healthcare insurance investigation

Job Summary

  • This role focuses on identifying and mitigating healthcare fraud by assessing suspected referrals and uncovering high-risk billing patterns.
  • Candidates will partner closely with investigators to develop leads, refine strategies, and deliver clear case assessments with actionable recommendations.
  • The position offers a comprehensive benefits package including medical, vision, dental, 401(k), and paid time off starting on day one.

Matching Summary

Match Score: 85

Cigna is seeking a Healthcare Fraud Investigator for a remote position within their Special Investigations Unit. The role focuses on identifying and mitigating healthcare fraud through investigative techniques and data analysis, requiring strong analytical skills and experience in healthcare insurance investigation.

Salary

Base: $68,300 - $113,900 USD yearly; Bonus/Equity: Eligible for annual bonus plan; Benefits: Medical, vision, dental, 401(k), life insurance, tuition reimbursement, 18 days PTO

Skills & Requirements

Must-have

  • 3+ years healthcare insurance investigation experience
  • Strong analytical research and problem-solving skills
  • Proficiency with Microsoft Excel and Word

Nice-to-have

  • Experience working with data analytics tools
  • Knowledge of CPT and ICD-10 coding systems
  • AHFI or CFE certification preferred

Key Requirements

  • Bachelor's degree in Criminal Justice or related field (Preferred)
  • AHFI and/or CFE certification (Preferred)
  • CPT and ICD-10 coding knowledge (Preferred)

Work Rights

Not specified

Tailored Resume

Cover Letter