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Senior Investigator - Iselin, NJ

UnitedHealth Group

Iselin, NJ
Job Code:
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Job Details

Senior Investigator - Iselin, NJ(Job Number:713889)

Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.(sm)


The Senior Investigator candidate will be the subject matter expert in data analytics and case generation for the Special Investigations Unit. The candidate must possess advanced skills in Microsoft Excel and Access that will enable her / him to conduct analytics in support of case generation activities, as well as other skills related to identifying, investigating and evaluating potential fraud.


This individual will be utilizing information from claims data analysis, plan members, employee's conduct confidential investigations and document relevant findings. They will report any illegal activities in accordance with all laws and regulations. The Senior Investigator may also conduct onsite provider claim and / or clinical audits (utilizing appropriate personnel) to gather and analyze all necessary information and documents related to the investigation. They will act as a subject matter with identifying, communicating and recovering losses as deemed appropriate. Where applicable. they will provide testimonials regarding the investigation.


Job Special Investigation Unit
Primary Location US-NJ-Iselin
Other Location 
Organization UHC LCRA - Compliance
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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