Kentucky Licensed SIU Investigator

Job Summary

A company is looking for a SIU Investigator to investigate allegations of potential healthcare fraud and abuse activity.

Key Responsibilities

• Conduct investigations of potential waste, abuse, and fraud
• Document activity on each case and refer issues to the appropriate party
• Perform data mining and analysis to detect aberrancies and outliers in claims

Required Qualifications

• Bachelor's Degree in Business, Criminal Justice, Healthcare, or related field, or equivalent experience required
• Minimum of three (3) years Medicaid fraud, waste, and abuse investigatory experience in Kentucky dedicated 100% to the Kentucky Medicaid Program required