SIU Investigator

A company is looking for a SIU Investigator to investigate pharmacy allegations of potential healthcare fraud and abuse activity.

Key Responsibilities

Conduct investigations of potential waste, abuse, and fraud

Document activity on each case and refer issues to the appropriate party

Perform data mining and analysis to detect aberrancies and outliers in claims

Required Qualifications

Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience

1+ years of experience in medical / pharmacy claim investigation, audit, analysis, or fraud investigation