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Job Summary

This position is responsible for managing health care fraud and internal fraud investigations; managing and training investigators and support staff; establishing and maintaining liaison with health care providers, federal law enforcement and CMS; and coordinating anti-fraud activities with other departments at HCSC.

Job Requirements:

• Bachelor Degree.
• 10 years law enforcement/investigation experience, and 3 years law enforcement/investigations management experience to include supervision of cases and investigators.
• Organizational skills
• Results oriented with demonstrated leadership skills.

Preferred Job Requirements:

• Master’s Degree.
• Experience in Medicare investigations.
• Experience liaising with CMS and federal law enforcement (U.S. Attorneys’ Offices, the Department of Health and Human Services Office of Inspector General (HHS-OIG), FBI).
• Experience working within a Health Care Company’s Special Investigations Unit or federal law enforcement.
• Experience in conducting complex investigations which lead to corrective actions.
• Proven ability to conduct investigations in a respectful and professional manner. 

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HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$88,700.00 - $160,200.00