Manager Special Investigation Unit
Bcidaho

We are seeking a leader who will manage the monitoring, detection, and mitigation of fraud, waste, and abuse to safeguard the organization's assets.

We are looking for a Manager with:

Experience: 7 years' relevant experience to include leadership experience

Education: Bachelor's Degree in Criminal Justice, Accounting, Business Administration, Health, or a related field; or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)

Preferred License/Credentials:

• AHFI, CFE or similar fraud or investigative certification or accreditation
• CPC
• Licensing in a healthcare field

What a day may look like:

• Manages the day-to-day operations of the special investigations' unit: monitoring, detection, and mitigation of fraud waste, and abuse.
• Provides guidance, counseling, and continuing education to staff. Selects, develops, coaches, mentors, and assesses performance of staff.
• Develops and interprets, policies, procedures, service standards and workflows to support the consistent application of practices across the functional area and compliance with regulations.
• Leads the development of threat identification and security procedures to deter fraudulent activity and minimize loss.
• Ensures the accuracy and thoroughness of findings presenting to internal and external departments/agencies for prosecution.
• Establishes or assists with the definition of strategies, policies, programs, and procedures for the control, detection, and analysis of frauds.
• Monitors quality and recommends alternate solutions to problems.
• Facilitates interview of fraud suspects.
• Handles the most complex and confidential or sensitive investigations.
• Ensures compliance with all laws & legislation governing investigations.
• Oversees vendors to ensure effectiveness and adherence to compliance requirements.
• Performs other duties and responsibilities as assigned.

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

This job has expired.