Job Details

A company is looking for an AVP, Special Investigations Unit.Key ResponsibilitiesLead and mentor a team in fraud detection, prevention, and recovery effortsDevelop fraud detection strategies using advanced analytics and conduct risk assessmentsOversee investigative procedures, ensure compliance, and collaborate with external partnersRequired QualificationsMinimum 7+ years of experience in healthcare fraud detection, investigation, or auditingBachelor's degree preferred in healthcare administration, finance, criminal justice, or related fieldIn-depth knowledge of healthcare systems, claims processing, and regulatory requirementsMinimum 5+ years in a leadership roleRelevant certifications (e.g., Certified Fraud Examiner, accredited healthcare fraud investigator) are a plus