Investigator Lead
Qlarant | |
United States, California, Los Angeles | |
Sep 11, 2024 | |
Investigator Lead Job Location
CA Home Based Position Type
Full-Time/Regular Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. Best People, Best Solutions, Best Results Job Summary: Qlarant has an immediate opening for a UPIC West Healthcare Fraud Lead Investigator to provide supervision and mentoring to a team of Investigators. In addition to your exceptional healthcare fraud investigation knowledge and experience, well qualified candidates will possess prior supervisory and leadership experience. This position oversees investigations and investigation workload. Independently performs in-depth evaluation and makes field level judgments related to investigations of potential Medicaid fraud waste and abuse investigations or cases compliance cases that meet established criteria for referral to the Centers for Medicare & Medicaid for administrative action or to the OIG for criminal action. Please Note: Well qualified candidates with Medicaid healthcare fraud investigation experience may be considered for home-based positions within the UPIC W jurisdiction states of Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington and Wyoming. Essential Duties and Responsibilities include the following. Other duties may be assigned.
Supervisory Responsibilities Supervises staff in the operational area. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Required Skills
To perform the job successfully, an individual should demonstrate the following competencies:
Required Experience
Education and/or Experience Required:
Preferred:
Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities. |