What are the responsibilities and job description for the Special Investigations Unit Investigator-Temporary position position at UPMC?
UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday through Friday 8:00 a.m. to 4:30 p.m. This is a remote position.
Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud, waste and abuse (FWA) cases, as well as researching and analyzing claims data in order to identify potential FWA. The SIU Investigator is also responsible for maintaining the FWA case system with accurate and detailed investigative activities related to assigned cases. This role includes supporting current SIU staff and manager with investigations and special projects.
Responsibilities:
- Maintain neat and organized files and electronic databases
- Prepare letters, memos, and reports
- Financial tracking
- Understand and adhere to HIPAA privacy requirements
- Proficiency with Microsoft Office products such as Word, Excel, Outlook and PowerPoint.
- Perform other duties as assigned
- Support all department personnel with duties including but not limited to investigations, audits, and regulatory referrals.
