SIU Investigative Analyst III

SIU Investigative Analyst III

Join a dynamic team as an SIU Investigative Analyst III in a fully remote, contract position. You will be responsible for overseeing investigative leads and regulatory reporting, utilizing generic technology platforms to manage data and reports. This role requires strong analytical skills and the ability to work independently in a fast-paced environment.

Oversee the intake, triage, and reporting of investigative leads from various sources. Ensure timely submission of federal and state regulatory reports within a 10-day period. Act as a point of contact for system updates and reporting developments. Analyze leads to determine the need for further action by relevant parties. Support investigators with data analysis for ongoing investigations and report development.

Associate's Degree in a related field; Bachelor's preferred. Minimum of 4 years of experience in healthcare fraud investigation/detection. Strong project leadership skills and the ability to manage multiple tasks. Excellent verbal and written communication skills. Knowledge of healthcare coding conventions and fraud schemes.

Data Management Systems | Spreadsheet Software | Presentation Software | Document Processing Software | Case Management Systems