About this role
The SIU Investigator IV leads advanced investigations into suspected fraud, waste, and abuse involving members, providers, and employees. The role manages complex cases, conducts specialized audits, and evaluates evidence that informs organizational, regulatory, and legal actions. It provides subject matter expertise, guides investigative approaches, and ensures SIU processes align with legal and compliance standards. This position has significant influence on investigative outcomes and supports team success through expert consultation and direction. Performs other duties as assigned.