Field Auditor/Investigator II

🔥 0 minutes ago

🏛️ District of Columbia, Florida, +5 more states – Remote

🏛️ District of Columbia – Remote 🐊 Florida – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🍂 Massachusetts – Remote

💵 $57.5k - $73k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

👻 Ghost score 0%

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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 data and information for USDA SNAP Retailer investigations • Review documentation and analyze data to assess allegation validity • Identify opportunities to proactively target fraud, waste, and abuse • Provide accurate recommendations to management for resolution and closure • Document and input findings and prepare comprehensive reports for legal or audit/investigative purposes • Address customer inquiries and concerns and escalate audits/investigations as needed • Compile detailed, organized records while ensuring legal and regulatory compliance • Conduct interviews with 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 working with the 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 • Ability to conduct audits/investigations concerning fraud, waste, and abuse • Analytical skills and attention to detail • Ability to review documentation and interview involved parties • Ability to communicate with stakeholders and customers • Knowledge of industry regulations, legal and regulatory requirements, and applicable policies • Successful completion of pre-employment background and drug screens • Must be able to work from an eligible U.S. location: DC, Ohio, New York, New Jersey, North Carolina, Massachusetts, Georgia, or Florida

🏖️ 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