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Director, Special Investigations Unit
Location
Kentucky + 4 moreAll locations: Kentucky | North Carolina | South Carolina | Wisconsin | Wyoming
Posted
47 days ago
Salary
$130.6K - $208.9K / year
Seniority
Lead
Job Description
Director, Special Investigations Unit
E-Verify Program
• Establishes and operationalizes SIU strategic plan. • Leads an organization that effectively identifies sources of FWA. • Oversees the SIU staff comprised of analysts, investigators, nurses, and data analytics personnel. • Creates an environment that assures full compliance with all legal and regulatory mandates. • Maintains a comprehensive understanding of emerging and current FWA trends and schemes. • Develops fraud detection analytics, including a comprehensive analytics process.
Job Requirements
- Bachelor’s degree in preferably business administration, health care administration, finance, accounting, nursing or criminal justice.
- Minimum of 5 years supervisory experience.
- 10 years of investigative experience of which 3 years must be in law enforcement, a juris doctorate, fraud certification, medical coding certification, or a medical professional such as a doctor or registered nurse.
- Certified Fraud Examiner and/or Accredited Healthcare Fraud Investigator.
Benefits
- Medical, dental, and vision coverage along with numerous health and wellness programs.
- Parental leave and support plus adoption and surrogacy assistance.
- Career development programs and tuition reimbursement for continued education.
- 401k match including an annual company contribution.
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Title: Director Product - Remote Location: - Eden Prairie, MN; Minneapolis or Washington, D.C. area (hybrid) - USA Remote Overtime status: Exempt Travel: No Remote Job Description: Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We are seeking a strategic, execution‑driven Product Director to lead the vision, roadmap, and delivery of next‑generation healthcare technology products. This leader will blend deep product management expertise with strong technical aptitude, EMR ecosystem fluency, and a passion for improving outcomes across clinical, quality, population health, and value‑based care workflows. You will guide cross‑functional teams, shape product strategy, partner closely with engineering and market stakeholders, and ensure our products deliver measurable customer and patient impact. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: - Product Strategy & Vision - Owns interoperability portfolio strategy and accountable for P&L; makes invest/hold/retire recommendations to sustain a healthy portfolio aligned to business strategy - Possess an in-depth understanding of technical product management best practices and frameworks - Collaborates with Stakeholders to drive strategic and outcome-based roadmaps - Strategic thinker with the ability to offer ideas that will facilitate product maturity within an organization - Clearly understands cross-product workflow / LOB relationships; learns from and adopts other products' successes - Directs competitive analysis and market & opportunity sizing, including white‑space assessment; translates insights into portfolio bets and investment priorities - Develops positioning & value propositions by segment; aligns portfolio roadmap to buyer needs and purchase cycles - Deep and personal knowledge of payer and provider users, customers and market segments - Roadmap, Prioritization & Execution - Influences & drives prioritization across the Product Development Roadmap, Product Backlog, and Sprint Backlog - Influences 'Definition of Done' and ensures it is clearly understood - Work with Business Leads and Engineering Leads to ensure OKR's are created and measured - Establishes KPIs and targets; 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