What are the responsibilities and job description for the Senior Investigator - Special Investigations Unit position at Community Care Plan?
Job Description:
Your Key Responsibilities:
We are seeking a highly motivated and experienced Senior Investigator to join our Special Investigations Unit (SIU). As a Senior Investigator, you will lead complex investigations into potential healthcare fraud, waste, and abuse, utilizing your expertise to detect and deter illicit activities. With a strong background in healthcare and a keen eye for detail, you will play a critical role in protecting the interests of our members and maintaining the integrity of our health plan.
Your Key Responsibilities:
- Lead and manage complex investigations involving healthcare fraud, waste, and abuse.
- Collaborate with internal teams to gather intelligence and conduct surveillance.
- Analyze data to identify patterns and trends indicative of fraudulent activity.
- Develop and execute strategies to prevent and detect FWA.
