Texas Licensed Special Investigations Investigator

Job Summary

A company is looking for a Special Investigation Unit Investigator (Remote in US).

Key Responsibilities

• Conducts investigations into fraud, waste, and abuse cases based on preliminary data and tips
• Prepares detailed investigation reports and coordinates remedial actions with relevant departments
• Collaborates with various departments and external agencies to share findings and support investigations

Required Qualifications and Education

• Bachelor's degree in a related field; advanced degree preferred
• Previous SIU experience with an insurance carrier or investigative firm required
• Minimum of four years of experience in a health care fraud control setting required
• National Health Care Anti-Fraud Association certification, Certified Fraud Examiner, or similar designation preferred
• Certified Pharmacy Technician designation is strongly preferred