Special Investigative Unit Coordinator

Job Description

Job Description

We are seeking a Special Investigative Unit (SIU) Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role :

The Special Investigative Unit (SIU) Coordinator plays a critical role in overseeing and managing investigations related to fraud, abuse, and other compliance issues within the healthcare and social assistance sector. This position ensures that all investigative activities are conducted thoroughly, ethically, and in accordance with regulatory standards and organizational policies. The coordinator acts as a liaison between internal departments, external agencies, and legal entities to facilitate information sharing and resolution of cases. By leading a team of investigators, the coordinator ensures timely and accurate documentation, analysis, and reporting of findings to support corrective actions and risk mitigation. Ultimately, this role contributes to safeguarding organizational integrity, protecting members rights, and maintaining compliance with healthcare laws and regulations.

Minimum Qualifications :

• Bachelor’s degree in Criminal Justice, Healthcare Administration, Social Work, or a related field.
• Minimum of 3 years of experience in healthcare investigations, compliance, or a related area.
• Strong knowledge of healthcare laws, regulations, and compliance standards including HIPAA and Medicare / Medicaid rules.
• Proven experience in managing investigative teams or projects.

Preferred Qualifications :

Responsibilities :