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Investigation Quality Audit Analyst

Job in Tampa, Hillsborough County, Florida, 33646, USA
Listing for: Virtual Vocations Inc
Full Time position
Listed on 2026-03-05
Job specializations:
  • Healthcare
  • Quality Assurance - QA/QC
Job Description & How to Apply Below
A company is looking for an Investigation Quality Audit Analyst to ensure the integrity, quality, and compliance of healthcare investigations through audits and collaboration.

Key Responsibilities Conduct regular audits of investigative case documentation to ensure compliance with internal policies and industry standards Identify trends and discrepancies, providing actionable insights to leadership Develop and maintain audit tools and tracking systems for consistent reviews

Required Qualifications , Training, and Education Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience 3+ years of experience in medical claim investigation, audit, or healthcare fraud investigation, or 2+ years with a relevant certification Relevant certifications preferred: CFE, AHFI, CIA, CHC, CPC, or CPMA Experience in developing training materials based on audit findings Familiarity with compliance and quality standards in healthcare investigations
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