Healthcare Fraud Investigator Resume
Here is the Healthcare Fraud Investigator Resume example:
Steven Rollins
4712 Crestview Terrace
Devine, TX 78016
(555)-555-5555
[email]
Job Objective To be given an opportunity to work as a Healthcare Fraud Investigator to put my years of training and experience to work for good of company.
Summary of Qualifications:
- Remarkable experience with fraud/abuse detection and claims data analysis
- Wide knowledge of law enforcement involved in healthcare and Medicaid fraud abuse detection
- Proficient in Excel and data analysis
- Excellent verbal and written communication skills
- Ability to differentiate between fraud, abuse and overutilization
Work Experience:
Healthcare Fraud Investigator, August 2005 – Present
UnitedHealth Group, Devine, TX
- Developed Federal, State and local law enforcement programs to reduce fraud and assault in relation to health plans.
- Performed investigations, audits, evaluations and inspections regarding the delivery of and payment for health care.
- Assisted the implementation of the civil, criminal and administrative statutes applicable to health care.
- Provided industry assistance, including suggested opinions, safe harbors and specific fraud alerts regarding to fraudulent health care practices.
Education
Bachelor’s Degree in Criminal Justice, West Valley College, Saratoga, CA
Healthcare Fraud Investigator Resume
1 file(s)
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- March 1, 2024Create Date
- March 1, 2024Last Updated
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