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Special Investigator

Company

Blue Cross and Blue Shield of Louisiana

Location

Baton Rouge, United States

Type

Full time

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us.

Residency in or relocation to Louisiana is preferred for all positions.

POSITION PURPOSE

Responsible for conducting and leading internal and external investigations for designated lines of business (Commercial, OGB, FEP, ITS, Medicare Advantage, Vantage, etc.), to ensure payment integrity within the respective programs. Provides management with insights and recommendations to, deter, detect, prevent and recover losses due to fraud, waste, and abuse. Accountable for complying with all laws and regulations that are associated with duties and responsibilities.

NATURE AND SCOPE
  • This role does not manage people
  • This role reports to this job: Manager, Special Investigations
  • Necessary Contacts: In order to effectively fulfi...
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