• Job Description

  Req#: 363730

  Investigator External Audit Special Investigations Unit (SIU) Remote.

  The SIU Audit Investigator supports the compliance related activities of the Special Investigations Unit (SIU) at the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related auditing and monitoring activities at the Health Plan.

  Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

  Providence Health Plan welcomes 100% remote work for applicants who reside in the following states:

  • Washington

  • Oregon

  • California

  Required Qualifications:

  • Bachelor's Degree or an equivalent combination of education and experience.
  • 5 years - Coding experience with a healthcare provider, facility or health insurance company.
  • 2 years - Fraud and Abuse audit experience in a health insurance company, healthcare provider, facility or other relevant healthcare environment.
  • Project management experience, education program development experience and group presentation experience.
  • Experience in use of data mining software/tools.

  Preferred Qualifications:

  • Current certification as a CPC
  • AHFI, CHC, or CIA certifications
  • Clinical background.

  Salary Range by Location:

  California: Humboldt: Min: $29.62, Max: $45.31

  California: All Northern California - Except Humboldt: Min: $33.23, Max: $50.84

  California: All Southern California - Except Bakersfield: Min: $29.62, Max: $45.31

  California: Bakersfield: Min: $28.41 Max: $43.47

  Oregon: Non-Portland Service Area: Min: $26.49, Max: $40.52

  Oregon: Portland Service Area: Min: $28.41 Max: $43.47

  Washington: Western - Except Tukwila: Min: $29.62, Max: $45.31

  Washington: Southwest - Olympia, Centralia & Below: Min: $28.41 Max: $43.47

  Washington: Tukwila: Min: $29.62, Max: $45.31

  Washington: Eastern: Min: $25.28, Max: $38.68

  Washington: South Eastern: Min: $26.49, Max: $40.52

  Why Join Providence Health Plan?

  Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

  Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

• About the company

  Providence Health & Services is a not-for-profit, Catholic health care system operating multiple hospitals across seven states, with headquarters in Renton, Washington. The Providence affiliate family includes: Covenant Health, Facey Medical Group, Kadlec, Pacific Medical Centers and Swedish Health Services.

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