Manager, Special Investigation Unit (SIU)
Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes. Monitor business processes and systems to assure integrity and compliance in billing and claims payment Lead a team appropriately investigate all possible fraud, waste and abuse referrals Develop educational materials to address/identify waste activities as requested by the health plan and on an ad-hoc...
- Excel
- Workday