Senior Manager, SIU Fraud Investigation

Job Description Summary: The role is responsible for developing, executing, and overseeing a comprehensive anti-fraud program driven by advanced data analytics and focused on identifying, investigating and mitigating fraud, waste and abuse across all lines of business. This position plans and directs activities related to program strategy, coordination, investigation, and reporting of fraud, waste, and abuse. This position ensures timely, thorough, and well-documented investigations; and drives continuous improvement through monitoring of trends, root-cause analysis, and corrective action. The role also establishes standards, procedures, and oversight mechanisms to support consistent case management, reporting, and outcome measurements across the enterprise.…