Qlarant
501 - 1000 employees
Founded 1973
🏛️ Government
⚕️ Healthcare Insurance
Government • Healthcare Insurance • Insurance & Financial Services
Qlarant is a US-based services and technology firm specializing in healthcare program integrity, offering quality improvement, fraud, waste & abuse (FWA) detection and investigative services, and advanced data analytics and predictive modeling tools (the RIViR® Risk Solution Suite) for government agencies, health plans, and related sectors. The company also operates initiatives like the Qlarant Foundation and Qlarant Capital to fund grants and early-stage startups, and provides pharmacy, drug pricing, and transportation-focused solutions.
Auditor/Investigator II
🕒 June 26
⛰️ Colorado, Louisiana, +4 more states – Remote
💵 $56.1k - $83.7k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔎 Auditor
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Qlarant
501 - 1000 employees
Founded 1973
🏛️ Government
⚕️ Healthcare Insurance
Government • Healthcare Insurance • Insurance & Financial Services
Qlarant is a US-based services and technology firm specializing in healthcare program integrity, offering quality improvement, fraud, waste & abuse (FWA) detection and investigative services, and advanced data analytics and predictive modeling tools (the RIViR® Risk Solution Suite) for government agencies, health plans, and related sectors. The company also operates initiatives like the Qlarant Foundation and Qlarant Capital to fund grants and early-stage startups, and provides pharmacy, drug pricing, and transportation-focused solutions.
📋 Description
• Ensures the integrity and accuracy of claims processes and protocols. • Collects data for audits/investigations into claims. • Analyzes data to assess validity of claims. • Provides accurate recommendations to management. • Conducts routine and impartial audits/investigations. • Communicates audit/investigation findings clearly and professionally.
🎯 Requirements
• Minimum Bachelor's Degree required • 2 - 4 years of experience required • 5 - 7 years preferred • Medicare experience preferred • Certified Fraud Examiner preferred
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