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Special Investigations Director
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- The Special Investigations Director works under the direct supervision of the Vice President (VP) of Compliance.
- The Special Investigations Director will lead the Special Investigations Unit in the prevention, identification and investigation of healthcare fraud, waste and abuse (FWA) within the Vaya Health Provider Network.
- Represent the Special Investigations Unit on appointed committees as directed by the VP of Compliance and/or Chief Compliance Officer (CCO)
- Receive oral and written direction, monitoring and guidance from the VP of Compliance and CCO
- Provide investigative assistance and testimony for healthcare cases being investigated by DHB appeals and other LME-MCOs across the State as needed
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