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Arlo Solutions
Senior Healthcare Fraud Investigator
Remote · USA · Full time · Senior level
About the role
Lead healthcare fraud investigations and case development for the VA Veterans Health Administration. Turn analytic leads into decision-ready referral packages for administrative actions.
What you’ll do
• Review and validate fraud leads from analytics platforms. • Develop cases for community care provider fraud and abuse. • Build referral packages supporting administrative actions. • Prepare claim review workpapers and QA checklists. • Collaborate with federal investigators and stakeholders.
What you’ll bring
• Bachelor's degree and 8+ years federal healthcare fraud experience. • Knowledge of healthcare fraud laws and regulations. • Strong communication for executive audiences. • Able to pass Tier 2 Background Investigation. • Certified Fraud Examiner preferred.
Life at Arlo Solutions
Arlo Solutions values quality and partnership, delivering technology solutions that improve business processes and services.
About Arlo Solutions
Arlo Solutions is an IT consulting company specializing in technology solutions that reduce costs and improve business processes.