Special Investigations Unit (SIU) Director - Remote

Job description

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary: The Director, Special Investigations Unit (SIU), reports to the General Counsel and Chief Legal Officer and leads the Martin’s Point’s Audit & Recovery team. Responsible for developing and implementing a fraud, waste, and abuse program encompassing a wide range of investigations, audits, and medical code editing scenarios, including but not limited to appropriate oversight of Martin’s Point’s risk adjustment activities. Ensures all audits and investigations are performed and documented in compliance with applicable federal an...