SIU Investigator

Role Overview

Our healthcare payer client urgently needs additional SIU support to handle a heavy caseload of fraud, waste, and abuse (FWA) investigations. The role is critical for maintaining compliance with state and federal regulations and ensuring claims integrity.

What You Will Do

Provide proactive detection, investigation, and reporting of FWA in compliance with state/federal regulations and in a fast-paced environment.

Why It Might Be a Fit

SIU investigations or Compliance background required, with ability to prioritize and move cases forward with a sense of urgency, strong investigative fundamentals, and healthcare fraud experience preferred.

Requirements

• Bachelor’s degree required
• Certified Fraud Examiner (CFE) certification or similar preferred
• Senior level experience with proactive and self-driven approach
• SIU investigations or Compliance background required
• Claims investigation experience required

Benefits

• Medical
• Dental
• Vision
• Life Insurance
• Disability Insurance
• 401(k) Savings Plan
• Employee Stock Purchase Plan
• Professional Development Program
• Paid Time Off
• Paid Sick Time
• Employee Stock Purchase Plan

Originally posted on Himalayas