The Director of the Special Investigations Unit leads enterprise-wide strategies for the prevention, detection, and investigation of healthcare fraud, waste, and abuse. They manage investigative teams, oversee case lifecycles, and collaborate with cross-functional departments to ensure regulatory compliance and financial recovery. Candidates must possess a Bachelor’s degree and at least 10 years of experience in healthcare fraud, compliance, or investigations, including 5 years in a leadership role. A Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) certification is required or must be obtained within 12 months.
Amerihealth Caritas provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
