Supervisor Investigation (Healthcare FWA Team)
Job Locations
US-Remote
ID
2025-17014
| Category |
Fraud, Waste, & Abuse
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Position Type |
Full-Time
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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).
Mental Requirements:
- Communicating with others to exchange information.
- Assessing the accuracy, neatness, and thoroughness of the work assigned.
Physical Requirements and Working Conditions:
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
- No adverse environmental conditions expected.
Base compensation ranges from $95,000 to $125,000. 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. Date of posting: 11/3/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/31/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-JB1 #senior
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