State Licensed SIU Director

Job Summary

A company is looking for a Director, Special Investigative Unit (SIU).

Key Responsibilities

• Oversee the activities of the SIU for accurate and timely operational reviews and final reviews
• Interpret audit results and assist health plan executives in developing action plans to address identified risks
• Develop and implement continuous auditing processes from analytic design to final report stage

Required Qualifications

• Bachelor's degree in Accounting, Criminal Justice, Finance, Medical Professional, Economics, Operations Management, or related field
• 7+ years of related compliance and/or special investigation experience in managed care or CMS