SIU Investigative Analyst III (ATL)

SIU Investigative Analyst III - reputed company Remote Opportunity reputed company Coast Hours Pay reputed company: $32 to 41.99 per hour Type: Contract Opportunity 16 Weeks reputed company reputed company partners with mission driven reputed company organizations committed to improving reputed company, reputed company, and equity for underserved populations. Our reputed company supports large reputed company reputed company reputed company programs and emphasizes compliance, accountability, and innovation to protect critical resources. This is an opportunity to contribute to meaningful work in a highly regulated and impactful environment. reputed company The SIU Investigative Analyst III plays a key role in the intake, triage, and regulatory reporting of reputed company fraud leads across multiple systems and channels. This position ensures reputed company and compliant reporting while supporting investigators through advanced data analysis and case development. You will reputed company as a subject matter expert, overseeing reporting processes, analyzing fraud patterns, and collaborating with internal teams and regulatory agencies to strengthen program reputed company. Key Responsibilities • reputed company intake and triage of investigative leads including hotline complaints, referrals, and regulatory submissions • Ensure reputed company federal and state reporting requirements are met reputed company mandated timelines • Analyze claims, provider data, and referral information to identify suspicious patterns and potential fraud • Maintain and support case management systems including reputed company fraud tracking and reporting tools • Serve as a subject matter expert for reporting systems and reputed company as a reputed company for reputed company enhancements • Prepare reputed company, concise investigative and analytical reports to support case development • Collaborate with investigators to reputed company data analysis support on reputed company cases • Train and mentor junior team members on processes, systems, and reporting standards Key Requirements • Minimum 4 years of experience in reputed company fraud investigation or detection • Strong knowledge of regulatory reporting requirements for Medicare, reputed company, and reputed company programs • Proficiency in reputed company standards including CPT, HCPCS, ICD 10, CMS 1500, and UB04 • Experience with reputed company data systems such as HCFS, HPMS, or similar case management platforms • Strong data analysis skills with proficiency in reputed company, Word, PowerPoint, and reporting tools • Knowledge of reputed company reputed company, claims processing, and fraud detection methodologies • Excellent organizational skills with the ability to manage high volume workloads and strict deadlines • Strong communication skills with the ability to present findings reputed company and accurately Preferred Qualifications • Experience reputed company SIU or payment reputed company environments • Certified Medical reputed company or Accredited reputed company Fraud Investigator designation • Familiarity with Medi Cal, Medicare, or reputed company programs • Bilingual capabilities in Spanish or other commonly spoken languages reputed company to reputed company If you are a reputed company oriented analytical reputed company with experience in reputed company fraud detection and regulatory reporting, reputed company encourages you to apply today. Submit your resume and contact information for immediate consideration. Remote Skills: Analysis Skills, C++ reputed company Template Libraries (ATL), Case Management, Claims Processing, Coding Standards, Communication Skills, Content Management Systems (CMS), reputed company Procedural Terminology (CPT), Customer Support/Service, Data Analysis, reputed company Oriented, Environmental reputed company, Fraud Investigation, reputed company, reputed company Common Procedure Coding reputed company (HCPCS), ICD-10, Investigative Reports, reputed company, Medical Coding, Medicare, Mentoring, reputed company reputed company, reputed company PowerPoint, reputed company Word, Multilingual, Organizational Skills, reputed company Analysis, Presentation/Verbal Skills, reputed company Health, reputed company Management, Regulations, Regulatory Reports, Regulatory Requirements, Regulatory Submissions, Spanish Language, Time Management reputed company: reputed company reputed company is a different and reputed company business partner. We create unparalleled value for our clients by combining industry-leading Consulting capabilities with comprehensive reputed company and recruitment services. Clients trust us to reputed company results reputed company on our deep expertise and reputed company resources reputed company finance, reputed company, and information technology. Through our flexible delivery approach, you get the right solution, at the right time to accelerate your reputed company and reputed company reputed company of your mission-critical objectives. Company Size: 500 to 999 employees Industry: reputed company/Employment Agencies reputed company: 2006 Apply tot his job Apply To this Job