Senior Analyst SIU Investigator

Job Summary

A company is looking for a SIU Investigator to join their team.

Key Responsibilities:

• Identify and conduct investigations into suspected fraud, waste, and abuse (FWA)
• Document findings through formal reports and supporting documentation
• Monitor providers with substantiated findings and participate in FWA-related education

Required Qualifications:

• 3+ years of healthcare fraud investigation or professional investigation experience
• 3+ years of experience with applicable fraud statutes and federal guidelines
• Bachelor's degree in Criminal Justice or a related field (preferred)
• Experience with HIPAA, data privacy, and data security processes (preferred)
• Relevant certifications such as CFE, AHFI, or CPC (preferred)