SIU Investigator

Job Summary

A company is looking for an SIU Investigator to uncover healthcare fraud and protect vital resources.

Key Responsibilities

• Lead complex investigations into healthcare fraud, waste, and abuse
• Utilize data mining and analysis techniques to identify anomalies in healthcare transactions
• Serve as a subject matter expert and contribute to policy and strategy development related to FWA

Required Qualifications

• Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent work experience
• Minimum of 3 years of experience in health insurance fraud investigation, preferably with Medicare and/or Medicaid programs
• Exceptional analytical skills with the ability to interpret complex data sets
• Strong organizational skills to manage multiple investigations simultaneously
• Proven ability to work independently and in collaborative settings