Manager SIU Manager

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, Mar 27, 2024
This job expires in: 3 days

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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