Florida Licensed SIU Director

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 developing action plans to address identified risks
• Ensure compliance with all state and federal regulations for fraud and abuse

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