Overview
The Investigation Supervisor has the responsibility for leading client work aligned to Fraud, Waste & Abuse through a team of Investigators and support staff. This role provides front-line supervisory support to investigative staff and clients for the purposes of FWA detection and prevention. This may include investigating suspected incidents of fraud, waste, or abuse.
Responsibilities
- Team Management:
- Supervises the work of Investigators and/or support staff aligned to suspected incidents of fraud, waste or abuse
- Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
- Motivate team members through effective training and coaching to improve quality and accuracy.
- Contribute to discussions related to hiring, progressive discipline, and terminations. Ensure team members are meeting required metrics.
- Conduct frequent performance evaluations with each team member.
- Client Management:
- Ensures compliance with customer contracts.
- Serves as a main liaison to customers.
- Develops and conducts investigation-related training
- Supports legal proceedings as needed, including testifying in court or working with law enforcement personnel to prepare cases for civil or criminal actions.
- Negotiates settlement agreements to resolve disputes.
- Maintains current knowledge of relevant laws, regulations and standards
- Participates in special projects as required.
Qualifications
Education and Experience Requirements:
- Bachelor’s Degree in related discipline, or the equivalent combination of education, professional training and work experience
- 8-10 years of related investigative experience
- 2+ years of experience supervising investigative staff
- Preferred certifications:
- Accredited Healthcare Fraud Investigator (AHFI),
- Certified Fraud Specialist (CFS),
- Certified Fraud Examiner (CFE),
- Certified Forensic Interviewer (CFI), or
- Certified in Healthcare Compliance (CHC).
Skills and Abilities:
- Excellent verbal and written communication skills.
- Strong listening and observation skills.
- Attention to detail and high level of accuracy.
- Effective organizational and prioritization skills with multi-tasking ability
- Effective supervisory skills
Job Demands:
- This is a work-at-home position. Access to high-speed internet is required (all other equipment will be provided).
- Must be able to sit and use a computer keyboard for extended periods of time
- Travel up to 15%
- Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
- After-hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent)
Base compensation ranges from $90,000 to $110,000. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
United States
