Director of Special Investigations

Location: Remote

Compensation: To Be Discussed

Reviewed: Mon, Apr 06, 2026

This job expires in: 5 days

Job Category: Insurance

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced, Senior Level

Education Level: Bachelors

Job Summary

A company is looking for a Director of Special Investigative Unit (SIU).

Key Responsibilities

Oversee the activities of the SIU for accurate and timely operational reviews and final reviews
Interpret audit results and assist health plan executives in the development of appropriate action plans to address identified risks
Develop and implement continuous auditing processes from analytic design to final report stage

Required Qualifications

Bachelor's degree in Accounting, Criminal Justice, Finance, Medical Professional, Economics, Operations Management or related field or equivalent
7+ years of related compliance and/or special investigation experience in managed care or CMS

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