North Carolina Licensed AVP of SIU

Job Summary

A company is looking for an AVP, Special Investigations Unit.

Key Responsibilities

• Lead and mentor a team in fraud detection, prevention, and recovery efforts
• Develop fraud detection strategies using advanced analytics and conduct risk assessments
• Oversee investigative procedures, ensure compliance, and collaborate with external partners

Required Qualifications

• Minimum 7+ years of experience in healthcare fraud detection, investigation, or auditing
• Bachelor's degree preferred in healthcare administration, finance, criminal justice, or related field
• In-depth knowledge of healthcare systems, claims processing, and regulatory requirements
• Minimum 5+ years in a leadership role
• Relevant certifications (e.g., Certified Fraud Examiner, accredited healthcare fraud investigator) are a plus