
Director, Special Investigations Unit
E-Verify Program
full-time
Posted on:
Location Type: Remote
Location: Kentucky • North Carolina • United States
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Salary
💰 $130,560 - $208,896 per year
Job Level
About the role
- Establishes and operationalizes SIU strategic plan.
- Leads an organization that effectively identifies sources of FWA.
- Oversees the SIU staff comprised of analysts, investigators, nurses, and data analytics personnel.
- Creates an environment that assures full compliance with all legal and regulatory mandates.
- Maintains a comprehensive understanding of emerging and current FWA trends and schemes.
- Develops fraud detection analytics, including a comprehensive analytics process.
Requirements
- Bachelor’s degree in preferably business administration, health care administration, finance, accounting, nursing or criminal justice.
- Minimum of 5 years supervisory experience.
- 10 years of investigative experience of which 3 years must be in law enforcement, a juris doctorate, fraud certification, medical coding certification, or a medical professional such as a doctor or registered nurse.
- Certified Fraud Examiner and/or Accredited Healthcare Fraud Investigator.
Benefits
- Medical, dental, and vision coverage along with numerous health and wellness programs.
- Parental leave and support plus adoption and surrogacy assistance.
- Career development programs and tuition reimbursement for continued education.
- 401k match including an annual company contribution.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
fraud detection analyticsdata analyticscomplianceinvestigative techniquesmedical coding
Soft Skills
leadershipstrategic planningorganizational skillscommunication
Certifications
Certified Fraud ExaminerAccredited Healthcare Fraud Investigator