Investigator - Healthcare (A unique role with an industry

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.



Experience the rare combination of career success and quality of life with Oxford Health Plans. We are a leader in the healthcare insurance industry, offering services such as traditional health maintenance organizations, point-of-service plans, third-party administration of employer-funded benefits plans and Medicare plans. When you join Oxford, we'll give you every opportunity to express your ideas and make a real difference. As a division of UnitedHealthcare - the largest business unit of UnitedHealth Group, a highly respected Fortune 100 company - we have the resources to offer you the salary, benefits and work/life balance you need to enjoy all that you accomplish. Our idea of a healthy business is to improve every life we touch directly or indirectly. Join us and discover the rare combination of a rewarding career and the opportunity to make a difference in people's lives.





If you're a Criminal Justice professional with experience in the healthcare industry, you may be the ideal candidate for the Investigator position now open in our Trumbull office. This high-profile claims and case investigation role offers lots of autonomy and advancement potential with a leading healthcare organization. Come and think outside the box in this uncommon role where each day presents a new chance to apply your expertise to the following responsibilities:




Managing a caseload of investigation projects aimed uncovering potential fraudulent activity by doctors, members, groups and internal employees




Researching and mining claims data and other resources to identify trends and patterns of fraud




Working to recover funds owed to Oxford through effective investigation and analysis




Responding to incoming subpoenas




Developing relationships with external law enforcement and insurance agencies

Job Requirements:

Healthcare and project management experience is required, and familiarity with the legal system (state/federal laws) is preferred. Insurance experience is desired and investigations experience is a plus. Organization and problem-solving skills are key. PC proficiency is a must. Applicants must have an Associate's degree in Criminal Justice, or extensive experience in healthcare or law enforcement to be considered for this role. If you fit this description, and you're an intuitive team player who is comfortable working with confidential information, we want to hear from you.





UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.





If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!





Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.