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.
Part-Time Field Auditor and Investigator II – Remote, United States
Qlarant is hiring a part-time remote Field Auditor and Investigator II to investigate alleged fraud, waste, and abuse involving USDA SNAP retailers. The role includes evidence collection, stakeholder interviews, findings documentation, and management recommendations.
Statele Unite ale Americii
Alabama
Connecticut
Florida
Kentucky
Maine
Maryland
Massachusetts
New Hampshire
New Jersey
New York
Carolina de Nord
Ohio
Pennsylvania
Rhode Island
Carolina de Sud
Tennessee
Vermont
Virginia
Virginia de Vest28 $ – 34 $ / oră
RemoteNormă parțialăJuniorNivel mediuLimbă Obligatorie: englezăAuditorDescriere
- Conduct impartial audits and investigations of fraud, waste, and abuse allegations from initiation through closure
- Collect and evaluate data and documentation to determine whether allegations are substantiated
- Examine records and interview witnesses, claimants, and other stakeholders
- Identify proactive opportunities to detect and address fraud, waste, and abuse
- Respond to customer questions and concerns, escalating issues when appropriate
- Maintain organized case records and document investigative findings
- Develop management recommendations and detailed reports for legal, audit, or investigative use
- Share findings, progress updates, and expectations with customers, claimants, and stakeholders
- Coordinate with internal teams to support compliant processing under applicable legal and regulatory standards
- Help train and support fellow auditors and investigators
- Manage assigned work independently while coordinating priorities with a manager
Cerințe
- Bachelor’s degree required, with relevant experience accepted as a substitute
- Two to four years of experience required; five to seven years preferred, with experience and education substitutable where applicable
- Private investigator license required by the customer
- Successful completion of pre-employment background and drug screening
- Capability to gather and assess data and records related to fraud, waste, and abuse allegations
- Ability to conduct interviews and communicate effectively with stakeholders
- Working knowledge of applicable industry regulations, legal obligations, and policies
- Ability to produce detailed reports for legal, audit, or investigative purposes
Beneficii
- Qlarant is an equal opportunity employer of minorities, women, protected veterans, and individuals with disabilities
- Drug-free workplace
- Employment offers depend on successful completion of pre-employment background and drug screening