SIU Investigator

A company is looking for a Special Investigations Unit (SIU) Investigator - Remote.

Key Responsibilities

Develop and communicate investigative plans and evaluate evidence to support investigations

Review and analyze evidence related to potential fraud and make recommendations for next steps

Ensure compliance with laws and policies while recommending referrals to appropriate agencies

Required Qualifications

Bachelor's degree in Criminal Justice, Healthcare, or related field, or equivalent experience; HS diploma or GED required

2 years of experience in investigation, audit, healthcare, or legal

Must be eligible to work in the United States without work visa or residency sponsorship

Change agile with the ability to adapt to changing priorities

Knowledge of pharmacy and medical claims processing environment