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Texas Licensed SIU Manager

Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025

Job Description:

A company is looking for a Special Investigation Unit Investigator Manager.
Key Responsibilities

Manage a team to detect, investigate, remediate, and report incidents of fraud, waste, and abuse in healthcare services
Oversee all aspects of fraud, waste, and abuse within CHIP, Medicaid, and Commercial segments
Work a hybrid schedule of 3 days in office and 2 days remote, Monday to Friday, 8 am to 5 pm

Required Qualifications

Bachelor's degree required; certification as an Accredited Healthcare Fraud Investigator or Certified Fraud Examiner required or eligible within the first year
5 years of experience in conducting healthcare insurance investigations and interacting with law enforcement agencies
3 years of managerial or supervisory experience in Healthcare Special Investigations Unit
Experience with Medicare and Medicaid regulations and understanding of the healthcare industry is preferred

Keywords: VirtualVocations, Highland , Texas Licensed SIU Manager, Accounting, Auditing , Vista, California

Click here to apply!

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