Auditor/Investigator II

🔥 1 minute ago

🌵 Arizona, California, +7 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote 🥔 Idaho – Remote 🦬 Montana – Remote 🎰 Nevada – Remote 🌾 North Dakota – Remote ⛷️ Utah – Remote ☕ Washington – Remote 🦬 Wyoming – Remote

💵 $57.5k - $85.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Qlarant

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1973

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

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

• Conduct routine and impartial audits/investigations of customer claims from start to closure • Ensure accurate and fair assessments of claims validity • Address customer inquiries and concerns and escalate audits/investigations as needed • Compile detailed records of audit/investigation findings in compliance with legal and regulatory requirements • Create and implement strategies to identify and prevent fraudulent activities • Interview witnesses, claimants, and other stakeholders • Communicate with internal teams to ensure proper processing of audits/investigations • Communicate findings to customers, claimants, and stakeholders, managing expectations and providing updates • Assist with training and supporting other auditors/investigators • Plan and arrange own work while collaborating with the manager to prioritize projects

🎯 Requirements

• Minimum Bachelor's Degree required; education can be substituted for experience • 2–4 years of experience required; 5–7 years preferred; experience can be substituted for education • Certified Fraud Examiner preferred • Must successfully complete pre-employment background and drug screens

🏖️ Benefits

• Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities • Drug-free workplace • Employment offers contingent upon successful completion of pre-employment background and drug screens