Senior Manager, Special Investigations Unit

Job description

Salary Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary: The Senior Manager of Special Investigations Unit (SIU) will have responsibility for the Delegation Oversight of the Planned Partner (PP) and Participating Physician Group (PPG's) SIU representatives, vendors, contractors and other delegated entities. This position directly oversees PP/PPG SIU Managers and investigative personnel from PP/PPG's to ensure all PP/PPG's, vendors, contractors and delegated entities are in compliance with all fraud, waste and abuse (FWA) requirements implemented by Centers for Medicare and Medicaid Service...