Required Qualifications** + Bachelor's degree + At least 3 years of health insurance fraud investigations and other investigative/auditing experience + Knowledge of healthcare payment methodologies + Inquisitive nature with ability to analyze data to metrics + High level of computer literacy (MS, Word, Excel, Access) + Exceptional organizational, interpersonal, and communication skills + Strong personal and professional ethics + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Graduate degree and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and investigative process development + Experience in a corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. The Senior Investigator exercises independent judgment in handling complex assignments, influencing investigative strategy, and recommending actions, while working with minimal direction and demonstrating leadership capability.