Managed Care Oversight Investigator I

Jobsformnc

Base: $52,592 - $92,036; bonus/equity: not specifi...
Hybrid
Medicaid compliance knowledge
Investigative techniques
Data analysis skills
The Managed Care Oversight Investigator conducts inquiries into suspected fraud, waste, and abuse within the Medicaid provider network

Job Summary

  • The Managed Care Oversight Investigator conducts inquiries into suspected fraud, waste, and abuse within the Medicaid provider network.
  • This role supports the integrity of state healthcare expenditures and promotes program compliance.
  • The position is eligible for a hybrid-teleworking schedule to include weekly onsite work hours.

Matching Summary

The Managed Care Oversight Investigator conducts inquiries into suspected fraud, waste, and abuse within the Medicaid provider network.

Salary

Base: $52,592 - $92,036; Bonus/Equity: Not specified; Benefits: Comprehensive benefits including health insurance

Skills & Requirements

Must-have

  • Medicaid compliance knowledge
  • Investigative techniques
  • Data analysis skills

Nice-to-have

  • Experience with managed care organizations
  • Effective communication skills
  • Strong organizational skills

Key Requirements

  • Master's degree in a relevant discipline
  • Two years of related experience
  • Ability to interpret state and federal regulations

Work Rights

Not specified

Tailored Resume

Cover Letter