Special Investigations Unit Investigator

Job Summary

A company is looking for a Special Investigation Unit Investigator (Remote in US).

Key Responsibilities

• Receives and develops case portfolios based on preliminary evaluations and findings
• Conducts investigations including comprehensive reviews and interviews, and creates detailed reports
• Coordinates with various departments for remedial actions and prepares reports for referral to relevant agencies

Required Qualifications, Training, and Education

• Bachelor's degree in a relevant field; advanced degree preferred
• Previous SIU experience with an insurance carrier or investigative firm required
• Minimum of four years of experience in a health care fraud control setting required
• National Health Care Anti-Fraud Association certification or similar designations preferred
• Certified Pharmacy Technician (CPhT) is strongly preferred