Hcsc
Manager Special Investigations
Chicago Illinois HQ (300 E
Sponsorship not specified$93k-$168kDetected 12 days ago
Data AnalysisComplianceAccountingExcelHIPAALeadershipCommunicationOrganizational SkillsMicrosoft OfficeClaims Management
About the role
- HCSC is looking for a dynamic individual to join its Fraud Investigations team!
- This position will be responsible for managing healthcare fraud and internal fraud investigations initially focusing on IL Medicaid
- establishing and maintaining liaison with healthcare providers and law enforcement
Responsibilities
- managing and training investigators as well as support staff
- Develop and maintain liaison contacts with law enforcement.
Requirements
- 1 year of leadership or supervisory experience.
- Keen analytical, interviewing, and investigative skills, with proficiency in data analysis and claims management systems.
- Proficiency in anti-fraud analytics tools, case management software, and MS Office (Word, Excel, PowerPoint) as well as Workday.
- Master's Degree.
- Experience with IL Medicaid FWA investigations.
Skills
- Strong organizational skills and results oriented with demonstrated leadership capabilities.
Compensation
- The compensation offered will vary depending on your job-related skills, education, knowledge, and experience.
- This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
- $92,700.00 - $167,500.00
- Exact compensation may vary based on skills, experience, and location.
- Base Pay Range
Benefits
- At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
- Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
- The compensation offered will vary depending on your job-related skills, education, knowledge, and experience.
- This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
- Develop and manage investigative group designed to detect, investigate, and refer health care fraud cases to law enforcement.
- Develop and maintain sources of information needed to detect health care fraud.
- Ensure investigators are familiar and utilize health care fraud databases, including Fraud and Abuse Management System (FAMS).
Company info
- Deal directly with HCSC customers on fraud matters when appropriate.
- Communicate and interact effectively and professionally with co-workers, management, customers, etc.
- Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Equal opportunity
- We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued.
Visa & Work Authorization
- NOTE: relocation is NOT offered, sponsorship will NOT be extended either now or in the future.
This listing is sourced directly from Hcsc's careers page and normalized into a canonical job model.