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Healthcare Fraud Investigator Intern

Qlarant

Healthcare Fraud Investigator Intern

Dallas, TX
Internship
Paid
  • Responsibilities

    Qlarant, Inc. is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care 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 junior, senior, graduate student or recent grad interested in a career in healthcare fraud investigation. Located in our Dallas, TX or Los Alamitos, CA office, this internship is for 8 weeks, 40 hours per week beginning June 5 or a mutually acceptable alternate date. The hourly wage is $15.50/hour.

    The intern will work with our Investigations team engaged in the detection and investigation of fraud, waste, and abuse in healthcare. The internship may include but is not limited to:

    • Works with the team to prioritize complaints for investigation, and then investigates, conducts interviews and reviews information to make potential fraud determination.
    • Determines investigation or case appropriateness of fraud, waste and abuse issues in accordance with pre-established criteria.
    • Conducts interviews of witnesses, informants, and subject area experts and targets of investigations.
    • Identifies and collects information to support the an investigation
    • Drafts investigation reports and promotes effective and efficient investigations.
    • Works with data to understand healthcare claims
    • Prepares and presents a final report.

    Required Skills

    To perform the job successfully, an individual should demonstrate the following competencies:

    • Ability to work independently with minimal supervision.
    • Ability to communicate effectively with all members of the team to which he/she is assigned.
    • Ability to grasp and adapt to changes in procedure and process.
    • Ability to effectively resolve complex issues.
    • Ability to utilize Microsoft Office and other programs.

    Required Experience

    • Junior, Senior, Graduate Student or recent grad in one of the following fields:

      • Criminal Justice
      • Criminology
      • Psychology
      • Or Related Field
    • Intermediate level ability to use Microsoft Office: Excel, Word, PowerPoint, and Outlook.

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

  • Qualifications

    To perform the job successfully, an individual should demonstrate the following competencies:

    • Ability to work independently with minimal supervision.
    • Ability to communicate effectively with all members of the team to which he/she is assigned.
    • Ability to grasp and adapt to changes in procedure and process.
    • Ability to effectively resolve complex issues.
    • Ability to utilize Microsoft Office and other programs.