SIU Investigator

Job Summary

Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations, perform data analysis, and prepare detailed reports while working remotely, preferably from Ohio.

Key responsibilities

• Conduct investigations of potential waste, abuse, and fraud in healthcare claims
• Document case activities and refer issues to the appropriate parties
• Perform data mining and analysis to detect aberrancies in claims and develop new queries and reports

Required qualifications

• Bachelor's degree or Associate's degree with 2 additional years of relevant experience
• Minimum of 2 years working in healthcare fraud, waste, and abuse investigations and audits
• Ability to understand and analyze healthcare claims and coding