Qlarant
Qlarant
Qlarant este o companie americană de servicii și tehnologie în domeniul sănătății, care ajută agențiile guvernamentale, planurile de sănătate și organizațiile conexe să îmbunătățească integritatea programelor și calitatea îngrijirii. Activitatea sa include îmbunătățirea calității serviciilor medicale, detectarea fraudelor, a risipei și a abuzurilor, investigații, soluții pentru farmacii și pentru stabilirea prețurilor medicamentelor, servicii axate pe transport și analize avansate. Suita de soluții pentru riscuri RIViR® de la Qlarant sprijină modelarea predictivă și evaluarea riscurilor bazată pe date. Compania operează, de asemenea, Qlarant Foundation și Qlarant Capital, extinzându-și atenția către granturi și inițiative aflate în stadii incipiente.

Field Auditor/Investigator II - United States Remote

Qlarant is hiring a remote Field Auditor/Investigator II to investigate fraud, waste, and abuse involving USDA SNAP retailers. The role includes audits, interviews, data analysis, stakeholder communication, and investigative reporting through case resolution.

Descriere

  • Manage impartial audits and investigations of fraud, waste, and abuse allegations from initiation through closure
  • Gather records, evidence, and other information for USDA SNAP retailer investigations
  • Evaluate documentation and analyze data to determine whether allegations are substantiated
  • Identify patterns and opportunities for proactive fraud, waste, and abuse prevention
  • Deliver well-supported recommendations to management for case resolution and closure
  • Record findings and produce comprehensive reports for legal, audit, and investigative use
  • Respond to customer questions and concerns, escalating matters when appropriate
  • Maintain thorough, well-organized case files in accordance with legal and regulatory standards
  • Interview witnesses, claimants, and other relevant parties
  • Coordinate with internal teams to support accurate and timely investigation processing
  • Present findings to customers, claimants, and stakeholders while providing clear updates and managing expectations
  • Support the training and development of fellow auditors and investigators
  • Organize daily assignments and collaborate with the manager to set project priorities

Cerințe

  • A bachelor's degree is required, though relevant experience may be accepted in substitution
  • Two to four years of experience is required; five to seven years is preferred, with experience and education potentially substitutable
  • A private investigator license is required by the customer
  • Demonstrated ability to perform audits and investigations involving fraud, waste, and abuse
  • Strong analytical ability and careful attention to detail
  • Ability to assess records and interview people involved in an investigation
  • Effective communication skills for working with customers and other stakeholders
  • Understanding of industry regulations, legal and regulatory obligations, and applicable policies
  • Successful completion of required pre-employment background and drug screenings
  • Ability to work from an eligible U.S. location: District of Columbia, Ohio, New York, New Jersey, North Carolina, Massachusetts, Georgia, or Florida

Beneficii

  • Qlarant is an equal opportunity employer supporting minorities, females, protected veterans, and individuals with disabilities
  • Drug-free workplace
  • Employment offers depend on successful completion of pre-employment background and drug screenings

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