New York Licensed SIU Investigator

A company is looking for a SIU Investigator to investigate allegations of potential healthcare fraud and abuse activity.

Key Responsibilities

Conduct investigations of potential waste, abuse, and fraud

Document activity on each case and refer issues to the appropriate party

Perform data mining and analysis to detect aberrancies and outliers in claims

Required Qualifications

Bachelor's Degree in Business, Criminal Justice, Healthcare, or related field, or equivalent experience

1+ years of experience in medical claim investigation, audit, analysis, or fraud investigation

Preferred : 5+ years in healthcare fraud, waste, and abuse investigations or insurance claims investigation

Experience with law enforcement agencies or professional investigation related to economic or insurance matters is a plus

Candidates residing in New York are highly preferred