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Michigan Licensed SIU Investigator
A company is looking for a SIU Investigator to investigate 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 claim investigation, audit, analysis, or fraud investigation Experience in developing queries and reports to detect potential fraud Ability to prepare detailed reports on investigative findings Familiarity with compliance policies and standards
A company is looking for a SIU Investigator to investigate 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 claim investigation, audit, analysis, or fraud investigation
Experience in developing queries and reports to detect potential fraud
Ability to prepare detailed reports on investigative findings
Familiarity with compliance policies and standards
