Manager SIU Manager

Job is Expired

Location: Remote

Compensation: To Be Discussed

Staff Reviewed: Wed, Mar 27, 2024

Job Category: Investigations

Weekly Hours: Full Time

Employment Status: Permanent

Career Level: Experienced

Education Level: Bachelors

Job Summary

A company is looking for a Manager, Special Investigation Unit (SIU).

Key Responsibilities:

Monitor business processes and systems to assure integrity and compliance in billing and claims payment
Lead a team to investigate fraud, waste, and abuse referrals
Develop educational materials, attend meetings, review cases, and prepare saving reports

Required Qualifications:

Bachelor's degree in Business, Healthcare, Criminal Justice, or related field
4+ years of experience in medical claim investigation, financial impact analysis, compliance, or fraud and abuse
Thorough knowledge of medical terminology
Previous experience in managed care environment and as a lead or supervisor preferred
Medical records or coding license preferred

COMPLETE JOB DESCRIPTION

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Job is Expired

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