Position Overview
Job Description
An SIU Investigator at LA Care is responsible for investigating suspected healthcare fraud, waste, and abuse across providers, members, and claims. They analyze billing data, gather evidence, conduct interviews, and build detailed case reports to determine if fraudulent activity occurred. The role also involves working with regulatory agencies and law enforcement, including submitting cases and supporting legal actions when needed. Overall, they own the full investigation process end-to-end while ensuring all work is accurate, compliant, and well-documented.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender ide...