Special Investigation Unit Investigator, Manager
Special Investigations Manager
HealthCare Support is actively seeking a SIU Investigator Manager to fill an opening with our prestigious healthcare client.
Daily Responsibilities for Special Investigation Manager:
- The Manager, SIU manages a team to detect, investigate, remediate, and refer to state regulatory agencies and/or law enforcement as appropriate, incidents of fraud, waste, and abuse (FWA) arising in connection with medical, behavioral, dental, transportation, pharmacy, and other healthcare services.
- This position is dedicated to (CHIP, Medicaid, Commercial), and oversees all aspects of FWA within those segments.
- Schedule is Mon- Fri 8am- 5pm
- Position is Hybrid 3x in office and 2 days remote
Required Qualifications for SIU Investigator Manager:
- Bachelor’s degree required. Certification (Accredited Healthcare Fraud Investigator and/or Certified Fraud Examiner, etc.) required or eligible to obtain within the first year of employment. (they would need one or the other)
- 5 years’ conducting comprehensive healthcare insurance investigations, and interacting with state, federal, and local law enforcement agencies. Investigative experience (State or local law enforcement, FBI, CIA, DEA, Secret Service, OIG, General Accounting Office, MFCU, government agencies, corporate investigations, insurance company, law firm, accounting firm, auditing, or similar professional experience). Experience working with Medicare and Medicaid regulations, understanding of healthcare industry, claims processing, investigative process, and auditing a plus.
- 3 years’ Healthcare SIU managerial/supervisory experience
Benefits for Special Investigation Unit Manager:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $50 – $55 an hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to aaron.moore@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
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