Special Investigative Unit Coordinator

Do you have a passion for uncovering the truth and ensuring ethical practices in the healthcare industry? Are you a natural leader with experience in investigative work? If so, we have an exciting opportunity for you to join our team as a Special Investigative Unit Coordinator at Presbyterian Healthcare Services.As the Coordinator of our Special Investigative Unit, you will play a crucial role in protecting our organization from fraudulent and unethical activities. Your sharp eye for detail and extensive knowledge of investigative techniques will be essential in identifying potential cases of fraud, waste, and abuse within our healthcare system.To be successful in this role, you must have a minimum of 3 years of experience in conducting investigations and be well-versed in state and federal laws and regulations related to healthcare fraud. A strong sense of integrity, excellent communication skills, and the ability to collaborate with various departments and external agencies are also crucial qualities we are seeking in our ideal candidate.Join our team at Presbyterian Healthcare Services and make a difference in the fight against healthcare fraud. Apply now and be a part of our mission to provide quality care to our community.

1. Oversee the operations of the Special Investigative Unit (SIU) and ensure compliance with state and federal laws and regulations related to healthcare fraud.
2. Develop and implement policies and procedures for the SIU to effectively identify, investigate, and prevent potential cases of fraud, waste, and abuse within the healthcare system.
3. Lead and supervise a team of investigators and analysts, providing guidance and support to ensure efficient and thorough investigations.
4. Conduct thorough and objective investigations into allegations of healthcare fraud, including reviewing documents, conducting interviews, and analyzing data.
5. Maintain accurate and detailed records of investigations, findings, and outcomes, and provide regular reports to management and external agencies.
6. Collaborate with various departments and external agencies, such as law enforcement, insurance companies, and regulatory bodies, to share information and coordinate efforts in investigating potential cases of fraud.
7. Stay updated on current trends and developments in healthcare fraud and adjust investigative strategies accordingly.
8. Identify and implement training opportunities for staff and providers on fraud awareness and prevention.
9. Serve as a liaison between the organization and external agencies, representing the organization's interests in investigations and legal proceedings.
10. Uphold the organization's code of ethics and promote a culture of integrity and ethical behavior within the healthcare system.

According to JobzMall, the average salary range for a Special Investigative Unit Coordinator in Albuquerque, NM, USA is $50,000-$80,000 per year.

The actual salary for a Special Investigative Unit Coordinator may vary depending on factors such as experience, education, specific job duties, and the employer. Some employers may also offer additional benefits such as bonuses, healthcare, and retirement plans.

It is recommended to research and compare salaries from multiple sources to get a better understanding of the average salary range for this position in Albuquerque, NM.

Presbyterian Healthcare Services is a private not-for-profit health care system and health care provider in the State of New Mexico. It owns and operates 8 hospitals in 7 New Mexico communities. It also operates Presbyterian Health Plan.