SIU Investigator

Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Fri, Mar 13, 2026

Job Summary

A company is looking for a SIU Investigator to investigate pharmacy allegations of potential healthcare fraud and abuse activity.

Key Responsibilities
  • Conduct investigations of potential waste, abuse, and fraud
  • Document activity on each case and refer issues to the appropriate party
  • Perform data mining and analysis to detect aberrancies and outliers in claims
Required Qualifications
  • Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience
  • 1+ years of experience in medical/pharmacy claim investigation, audit, analysis, or fraud investigation

COMPLETE JOB DESCRIPTION

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