
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.
🔥 0 minutes ago
🐊 Florida, Kentucky, +8 more states – Remote
💵 $28 - $34 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
🔎 Auditor
👻 Ghost score 0%
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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.
• 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 • Address customer inquiries and concerns and escalate audits/investigations as needed • Compile detailed and organized records of audit/investigation findings • 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 • Provide training and support to other auditors/investigators • Plan and arrange own work while working with the manager to prioritize projects • Prepare comprehensive reports for legal or audit/investigative purposes • Provide accurate recommendations to management for resolution and closure
• Bachelor's Degree required; can be substituted for experience • 2–4 years of experience required; can be substituted for education • 5–7 years of experience preferred • Private investigator license required by customer • Successful completion of pre-employment background and drug screens • Ability to conduct audits/investigations concerning fraud, waste, and abuse allegations • Analytical skills and attention to detail • Ability to review documentation, interview involved parties, analyze data, and communicate with stakeholders • Knowledge of industry regulations, legal requirements, and regulatory standards
• 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
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