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Senior SIU Investigator - Community Health Choice
JOB SUMMARY: The Senior SIU Investigator performs reviews of claim lines flagged by Community's SIU and Community's SIU Contractor. The SIU Senior Investigator work assignments involving high level, moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This position routinely handles cases that are sensitive, complex and/or high profile, involving multi-disciplinary provider groups, or cases involving multiple perpetrators or intricate healthcare fraud schemes. The Senior SIU Investigator cooperates with federal, state, and local law enforcement agencies in the investigation and prosecution of FWA matters. MINIMUM QUALIFICATIONS: 1. Education/Specialized Training/Licensure:


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