At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for managing health care fraud and internal fraud investigations; managing and training investigators and support staff; establishing and maintaining liaison with health care providers, federal law enforcement and CMS; and coordinating anti-fraud activities with other departments at HCSC.
Job Requirements:
- Bachelor Degree.
- 10 years law enforcement/investigation experience, and 3 years law enforcement/investigations management experience to include supervision of cases and investigators.
- Organizational skills
- Results oriented with demonstrated leadership skills.
Preferred Job Requirements:
- Master’s Degree.
- Experience in Medicare investigations.
- Experience liaising with CMS and federal law enforcement (U.S. Attorneys’ Offices, the Department of Health and Human Services Office of Inspector General (HHS-OIG), FBI).
- Experience working within a Health Care Company’s Special Investigations Unit or federal law enforcement.
- Experience in conducting complex investigations which lead to corrective actions.
- Proven ability to conduct investigations in a respectful and professional manner.
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HCSC Employment Statement:
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$88,700.00 - $160,200.00
What We Do
Imagine Something New, Something Different.
Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is the largest customer-owned health insurer in the nation and the fourth largest overall. Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries,) we are expanding access to high-quality, cost-effective health care. We are equipping members with information and tools so they can make the best health care decisions for themselves and their families.
HCSC is continuously recognized as an employer committed to community, diversity and inclusion, training and development.
HCSC is committed to pioneering the health care space in ways as effective as they are creative. If you are passionate about the impact you want to have through your work, with a desire to apply innovative thinking to new and emerging challenges, we encourage you to learn more about HCSC.
Learn about what we stand for, how we work and the difference we’re making in the lives of our 15 million members. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization.
Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.
