Healthcare Fraud Investigation Intern - Cerritos
Cerritos, CA 
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Job/Internship Description
Healthcare Fraud Investigation Intern - Cerritos

Job Location
Cerritos, CA

Position Type
Full-Time/Regular

Qlarant, Inc. is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of healthcare and human services programs. We are a national leader in fighting fraud, waste and abuse for large organizations across the country.

We have an exceptional summer internship opportunity for a top performing rising/graduated senior or graduate student interested in a career in healthcare fraud investigation. Located in our Cerritos, CA office, this internship is for 8 weeks, 40 hours per week beginning June 1, 2020 or a mutually acceptable alternate date. The hourly wage is $15.00.

The intern will be part of a healthcare fraud investigation team. The selected candidate will assist in performing evaluation of leads and obtaining research data as related to complaints and proactive leads of potential Medicare fraud investigations that meet established criteria for referral to the Centers for Medicare & Medicaid for administrative action or to the OIG for criminal action.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Enters investigative information into the case tracking systems.
  • Works with the team to prioritize complaints for investigations.
  • Analyzes data for appropriateness of fraud, waste and abuse issues in accordance with pre-established criteria, requesting additional documentation if necessary.
  • Refers all potential adverse decisions to the Lead Investigator/Manager.
  • Drafts and evaluates investigation reports and promote effective and efficient investigations.
  • Communicates with beneficiaries and providers as needed to resolve beneficiary complaints and assists providers with medical review status.
  • Identifies opportunities to improve processes and procedures.
  • Assists Intake Investigators and Investigators in administrative
  • Final project and presentation required for completion.

Required Skills

Proficient in Microsoft Office Tools: Excel, Word, PowerPoint and Outlook.


Required Experience

Rising / Graduated Senior or Graduate Student in one of the following fields:

  1. Criminal Justice
  2. Criminology
  3. Psychology
  4. Business Administration
  5. Related Field

Please note: Qlarant is not able to provide CPT or similar sponsorship for this internship.

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.


Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, Sexual Orientation, Gender Identity, and Individuals with Disabilities. Best People, Best Solutions, Best Results

 

Position Summary
Company
Start Date
As soon as possible
Employment Type
Full Time
Period of Employment
Open
Type of Compensation
Paid
College Credits Earned
No
Tuition Assistance
No
Required Student Status
Open
Preferred Majors
Other
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