California Licensed SIU Investigator

Job Summary

Investigating allegations of potential healthcare fraud and abuse activity, the full-time California Licensed SIU Investigator will conduct investigations, document findings, and perform data analysis while working remotely.

Key responsibilities

• Conduct investigations of potential waste, abuse, and fraud in healthcare claims
• Document activity on each case and provide updates on investigative progress
• Perform data mining and analysis to detect aberrancies and develop new queries for fraud detection

Required qualifications

• Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience
• Minimum of 1 year of experience in medical claim investigation, audit, analysis, or fraud investigation
• California SIU Investigator license required