Special Investigations Manager
3 weeks ago
Vaya Health is seeking an experienced Special Investigations Manager to lead our Special Investigations team. As a key member of our leadership team, you will be responsible for managing a team of investigators and developing strategies to prevent healthcare fraud, waste, and abuse within our network of contracted providers.
About the Role:
- Oversee the daily operations of the Special Investigations team, including conducting investigations, analyzing data, and developing compliance strategies.
- Manage a team of investigators, providing guidance, coaching, and performance evaluations.
- Develop and implement effective compliance strategies to prevent fraudulent activity.
- Collaborate with internal stakeholders to resolve compliance issues and improve overall program integrity.
Requirements:
- Bachelor's degree in a related field, such as compliance, analytics, government/public administration, auditing, security management, or pre-law.
- Five years of experience in compliance, healthcare, or fraud investigation unit.
- PREFERRED Licensure/Certification: Accredited Healthcare Fraud Investigator, Certified Fraud Examiner, or Certified Professional Coder.
Salary: $80,000 - $100,000 per year, depending on qualifications and experience. This position is exempt and is not eligible for overtime compensation.
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