Investigator

• Conduct high-level, complex analysis of dental providers and practices to prevent, investigate, and prosecute Fraud, Waste and Abuse
• Collaborate with Dental Network to provide evidence supporting corrective action
• Handle sensitive, high-profile, and nationally scoped cases
• Investigate to prevent payment of fraudulent activities
• Research and prepare cases for clinical, legal, and leadership review
• Document case activity in the case tracking system
• Make internal and external referrals within required timeframes
• Communicate and cooperate with federal, state, and local law enforcement agencies
• Provide expert testimony during civil and criminal proceedings
• Give presentations to internal and external customers regarding dental matters
• Provide input on controls for monitoring Fraud, Waste and Abuse issues
• Maintain open communication with internal and external constituents

Investigator jobs in Alabama

Senior Investigator, Special Investigations Unit