Special Investigation Unit Investigator III
L.A. Care Health PlanLos Angeles, California, United States
Posted May 8, 2026
88754 - 142166 USD
Full Time
About the Company
L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.
Job Description
The Special Investigation Unit Investigator III performs in-depth evaluation of potential fraud & abuse cases and develops complex investigations that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for fraud, waste & abuse. In addition, this position is responsible for building the investigative approach and provide leadership for Investigators through mentoring, on-site audit leadership and hands-on training of investigative techniques.
Requirements
- Bachelor's Degree in Criminal Justice or Related Field
- Minimum of 5 years of experience in healthcare fraud investigation/detection and/or healthcare related specialty
- Excellent research skills and the ability to support conclusions with documentary evidence
- Excellent analytical, problem solving, and resolution skills and the ability to discern the practical application of regulatory and legal requirements
- Demonstrated strong organizational skills and the ability to manage multiple demands and priorities
Benefits
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
