Ohio Licensed SIU Manager

Job Summary

A company is looking for a Manager, Program Integrity who will oversee fraud, waste, and abuse investigations.

Key Responsibilities

• Manage investigative team efforts, ensuring thorough and timely investigations and collaboration with law enforcement
• Lead the team through investigative resolutions, corrective actions, and employee mentorship
• Drive improvements in department effectiveness and participate in regulatory audits and national conferences

Required Qualifications

• Bachelor's degree in Criminal Justice, Medical/Health Care Field, or equivalent experience
• Minimum of 6-8 years of investigative or healthcare experience
• Extensive experience in healthcare, legal, auditing, claims, and/or investigative services
• Leadership/supervisory experience preferred
• Certifications such as Certified Fraud Examiner (CFE) or similar are preferred