SIU Investigator

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a SIU Investigator based in the United States.

This role is focused on protecting healthcare programs by investigating potential fraud, waste, and abuse (FWA) and supporting effective case resolution. You will review claims, medical records, provider information, financial documentation, and other evidence to identify irregularities and potential misconduct. The position combines investigative analysis, documentation, reporting, stakeholder collaboration, and field-based investigative activities. You will work with compliance, legal, payment integrity, providers, and external agencies to support corrective actions, recoveries, and regulatory requirements. The role also provides an opportunity to identify emerging fraud schemes and trends that could impact healthcare programs. It is well suited to an analytical and detail-oriented investigator who is motivated by program integrity and meaningful healthcare outcomes.