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