Investigator III
Compensation
$80k – $118k /yr
Employment type
Full-time
Work setting
On-site
Location
Mountlake Terrace, WA
Schedule
Day shift
Posted
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Job overview
The Investigator III is a hybrid role based in Mountlake Terrace, WA. Compensation is $80,200 - $118,300 per year, and this role supports the Special Investigations Unit at Premera Blue Cross. This position leads complex investigations into allegations of external fraud, waste, and abuse. The role involves analyzing healthcare claim data, performing field work, interviewing suspects, and preparing investigative reports for potential criminal prosecution.
What you'll do
- Analyze healthcare claim data
- perform field work
- interview suspects
- prepare case files
- testify in legal proceedings
- perform root cause analysis.
What we're looking for
- Skills & competencies
- full-timeday shiftmountlake terrace wainvestigatorfraud investigationhybridno on-callno travel$80k-$118kpremera
- Work arrangement
- Weekend coverage required
Benefits & perks
- Medical, Dental, Vision, 401(k) with match, pension plan, tuition assistance, PTO.
Why this role
Requires 3 years of fraud investigation experience; CPC/CFE/AHFI certification preferred.
About the employer
Premera Blue Cross is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
- Occupation code
- 13-1031.00
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Listing ID: 5c2b2888-5e1b-4552-8dbe-388147acb090