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Senior Clinical Investigator - Fraud & Medical Audits

Job in Philadelphia, Philadelphia County, Pennsylvania, 19113, USA
Listing for: Boston Medical Center
Full Time position
Listed on 2026-11-06
Job specializations:
  • Science
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 78000 - 113000 USD Yearly USD 78000.00 113000.00 YEAR
Job Description & How to Apply Below

Boston Medical Center is seeking a Clinical Investigator II to serve as the SIU clinical expert, leading investigations, audits, and liaison with regulatory bodies. The role emphasizes medical necessity review, data-driven fraud detection, and cross-department collaboration.

The position includes on-site duties in the BMCHP Compliance unit, with a focus on safeguarding plan assets and ensuring quality member care. Prior nursing licensure and fraud investigation certification are valued.

We would love to welcome a new Senior Clinical Investigator
- Fraud & Medical Audits to our team in United States.

The Senior Clinical Investigator
- Fraud & Medical Audits position in the Legal field is open for applications.

We have an opening for a Senior Clinical Investigator
- Fraud & Medical Audits in United States within Legal.

This role, Senior Clinical Investigator
- Fraud & Medical Audits at Boston Medical Center, could be your next move.

Position Requirements
10+ Years work experience
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