SIU Investigator

Job Summary

A company is looking for a Special Investigations Unit (SIU) Investigator - Remote.

Key Responsibilities

• Develop and communicate investigative plans and evaluate evidence to support investigations
• Review and analyze evidence related to potential fraud and make recommendations for next steps
• Ensure compliance with laws and policies while recommending referrals to appropriate agencies

Required Qualifications

• Bachelor's degree in Criminal Justice, Healthcare, or related field, or equivalent experience; HS diploma or GED required
• 2 years of experience in investigation, audit, healthcare, or legal
• Must be eligible to work in the United States without work visa or residency sponsorship
• Change agile with the ability to adapt to changing priorities
• Knowledge of pharmacy and medical claims processing environment