Job Details

A company is looking for a Director, Special Investigative Unit (SIU).Key ResponsibilitiesOversee the activities of the SIU for accurate and timely operational reviews and final reviewsInterpret audit results and assist health plan executives in developing action plans to address identified risksDevelop and implement continuous auditing processes from analytic design to final report stageRequired QualificationsBachelor's degree in Accounting, Criminal Justice, Finance, Medical Professional, Economics, Operations Management, or related field7+ years of related compliance and/or special investigation experience in managed care or CMS