Manager, Investigations - FEP MQA - Federal Employee Program (FEP) Member Quality Assurance (MQA)

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Requirements:

• 5 or more years of work experience.
• Investigative work experience.
• Experience managing multiple cases loads.
• Experience training peers and presenting to leadership.
• Experience/Proficiency with the Microsoft Office Suite.
• Bachelor's degree required, may consider equivalent experience in lieu of a Bachelor's degree.

Responsibilities:

• Oversee and manage investigations related to fraud, waste, and abuse within the FEP MQ department.
• Lead efforts to detect and investigate instances of fraud and abuse within the FEP MQ program.
• Develop and implement proactive measures to identify suspicious patterns indicating fraudulent activities.
• Assist in developing investigation plans and strategies to effectively address potential fraud or abuse cases.
• Collaborate with internal departments to ensure a coordinated approach to FEP MQ investigations.
• Ensure quality documentation of investigation activities, including evidence collection and case files.
• Coach an investigation team and manage team performance through feedback and reviews.
• Contribute to the development and enhancement of policies and procedures related to FEP MQ investigations.