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Lead Investigator
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Full-time
- The Lead Investigator will be responsible for providing leadership and guidance to the Special Investigations Unit team in investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices.
- How you will make an impact:Assisting the team manager with the administration and operational activities occurring within the Special Investigations Unit; coordinating and conducting case reviews for quality assurance, investigative sufficiency, and case data management; and direction of day-to-day operations as assigned by management.
- Prepares final report and notification of findings letter suitable for distribution to providers and legal counsel.
- Develops and maintains a high degree of rapport and cooperation with the Federal, State and local law enforcement and regulatory agencies which can assist in investigative efforts.
- Provides guidance to investigators and other SIU staff in the development of criminal and recovery cases.
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