Investigator II
$71,200–$106,800 year
Hybrid · Miami, Florida, United States or Atlanta, Georgia, United States
Job Summary
Investigator II role focused on healthcare fraud investigations, data mining, and case development. Responsibilities include claim reviews across facility, professional, and pharmacy claims; establishing relationships with law enforcement; developing enterprise-wide investigations; training internal/external entities; and contributing to policy/procedures to prevent asset loss. Requires a BA/BS and at least 3 years of related experience; fraud-certs (CFE/AHFI/AAPC) and health-insurance/law-enforcement experience are preferred. Hybrid work arrangement with in-office 1-2 days per week; alternate locations considered within commuting distance. Location examples include multiple U.S. offices (Columbus, OH; Atlanta, GA; Louisville, KY; Miami, FL; etc.). Salary ranges between $71,200 and $106,800 annually, with benefits and hybrid work expectations noted.
Required Qualifications
- BA/BS degree
- minimum 3 years related experience
- fraud certification preferred (CFE, AHFI, AAPC)
- coding certificates preferred
- health insurance and law enforcement experience preferred
Apply with one swipe on Sorce. We auto-fill applications and apply on your behalf — no cover letters, no 40-minute forms.
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.