Field Auditor/Investigator II

🔥 2 minutes ago

🏈 Alabama, Connecticut, +17 more states – Remote

🏈 Alabama – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🐎 Kentucky – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

💵 $28 - $34 / hour

⏱ Part 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 from start to closure into fraud, waste, and abuse allegations • Collect and analyze data and information to assess allegation validity • Review documentation and interview witnesses, claimants, and other stakeholders • Identify opportunities to proactively target fraud, waste, and abuse • Address customer inquiries and concerns and escalate matters as needed • Compile organized records and document all findings • Prepare recommendations for management and comprehensive reports for legal or audit/investigative purposes • Communicate findings, updates, and expectations to customers, claimants, and stakeholders • Coordinate with internal teams to ensure proper processing in compliance with legal and regulatory standards • Assist with training and supporting other auditors/investigators • Plan and arrange own work while working with a manager to prioritize projects

🎯 Requirements

• Bachelor's Degree required (can be substituted for experience) • 2–4 years of experience required; 5–7 years preferred (experience can be substituted for education) • Private investigator license required by customer • Successful completion of pre-employment background and drug screens • Ability to collect and analyze data and documentation concerning fraud, waste, and abuse allegations • Ability to conduct interviews and communicate with stakeholders • Knowledge of applicable industry regulations, legal requirements, and policies • Ability to prepare comprehensive reports for legal or audit/investigative purposes

🏖️ 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