Director of Special InvestigationsVirtualVocations • Fontana, California, United States
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Director of Special Investigations
VirtualVocations • Fontana, California, United States
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a Director, Special Investigations Unit (SIU).
Key Responsibilities
Drive strategy and results of the Fraud, Waste, and Abuse (FWA) program, monitoring performance and addressing improvement opportunities
Lead the Annual FWA Risk Assessment and develop workplans, ensuring regular updates based on internal and external trends
Manage the SIU in detecting and investigating suspected fraud across various activities and operations
Required Qualifications, Training, and Education
At least 7 years of experience in healthcare compliance, fraud investigations, or law enforcement, with 5 years in a leadership role overseeing an SIU and FWA program
Proven knowledge of CMS, OIG, and DOJ regulatory frameworks governing FWA programs
Strong investigative skills with experience in leading complex investigations
Demonstrated ability to develop long-term strategies that align with organizational goals
Licenses / Certifications Preferred : Certified Fraud Examiner (CFE), Certified Healthcare Compliance (CHC)
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Director Of Special • Fontana, California, United States
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