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Senior Manager SIU

VirtualVocations
Baltimore, Maryland, United States
Full-time

A company is looking for a Senior Manager, SIU to develop and manage strategic fraud, waste, and abuse activities.Key ResponsibilitiesEvaluate department policies and ensure compliance while enhancing processesLead investigations of fraud, waste, and abuse referrals and develop customized fraud plansPrepare audits and reports, and participate in state and federal meetings as requiredRequired QualificationsBachelor's degree in Business, Healthcare, Criminal Justice, or a related field6+ years of experience in medical claim investigation, compliance, or fraud and abuseThorough knowledge of medical terminology and experience in a managed care environmentExperience supervising staff, including hiring and performance managementPreferred medical records, fraud investigation, or coding license

10 days ago
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