Remote Special Investigative Unit Provider Fraud Waste and Abuse Investigations Manager

Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Fri, Jun 17, 2022
This job expires in: 11 days
Job Summary

A health insurance company is searching for a person to fill their position for a Remote Special Investigative Unit Provider Fraud Waste and Abuse Investigations Manager.

Candidates will be responsible for the following:

  • Conducting day-to-day coordination of FWA investigations
  • Partnering with the Director of SIU in the triage and case management process
  • Analyzing and providing responses to audit requests relating to FWA activities

Qualifications for this position include:

  • Bachelor’s Degree in criminal justice or related field, or five years of insurance claims investigation experience
  • Or professional investigation experience with law enforcement agencies
  • Experience conducting complex investigations related to Healthcare FWA
  • Strong interpersonal skills and the ability to conduct difficult conversations while maintaining collegiality
  • Experience in handling confidential information with a high degree of integrity
  • Understanding of SIU metrics
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