A company is looking for a Director of 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
Ensure compliance with all state and federal regulations for fraud and abuse
Required Qualifications
Bachelor's degree in Accounting, Criminal Justice, Finance, Medical Professional, Economics, Operations Management or related field or equivalent
7+ years of related compliance and / or special investigation experience in managed care or CMS
Director • Colorado Springs, Colorado, United States