Job Description

Now Hiring: Manager Special Investigations Unit

Location: Houston, TX (Hybrid, possibly fully remote)

Pay: Starting at $58/hour (based on experience) + Full Benefits

Schedule: Monday-Friday, 40 hours/week

Type: Temp-to-Hire

Industry: Healthcare | Compliance | Fraud Investigation

Dean's Professional Services is actively seeking an experienced Manager Special Investigation Unit to join a leading hospital system in Houston, TX. This is an exciting opportunity to lead critical fraud, waste, and abuse (FWA) initiatives in a patient-centered, value-based healthcare organization.

About the Role

As the SIU Manager , you'll oversee all aspects of the Fraud, Waste, and Abuse Program, ensuring regulatory compliance and leading high-impact investigations that protect patient trust and organizational integrity. You'll manage a dynamic team and coordinate with government agencies, vendors, and healthcare providers to prevent, detect, and resolve FWA issues.

Key Responsibilities

Lead investigations into potential fraud, waste, and abuse involving Medicaid and commercial providers, vendors, and members.

Manage a high-volume caseload, ensuring accurate documentation, reporting, and resolution.

Oversee overpayment recoveries and regulatory reporting.

Respond to government and regulatory inquiries related to FWA cases.

Coordinate with subcontractors and internal departments to advance cases and ensure compliance.

Identify new recovery opportunities and help shape preventative strategies and employee education.

Analyze FWA trends and propose process improvements.

Serve as a liaison to law enforcement, regulators, and third-party partners.

What You Bring

Education:

High School Diploma or GED

A bachelor's degree can substitute for four (4) years of experience in fraud,

Experience:

Minimum 8 years of fraud investigations or SIU experience with a health plan and understands SIU components and functions.

At least 1 year working with Medicaid investigations

Required Certifications (One of the following):

CFE - Certified Fraud Examiner

AHFI - Accredited Health Care Fraud Investigator

CPA - Certified Public Accountant

Intermediate Peace Officer Proficiency Certificate

Skills & Knowledge:

Deep understanding of FWA trends and healthcare regulations

Strong analytical, investigative, and reporting skills

Familiarity with CPT, ICD-9/10, and medical terminology

Excellent communication and stakeholder management

Proficient in independent judgment and use of investigative technology

Job Tags

Temporary work, For subcontractor, Immediate start, Monday to Friday,

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