About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Manager, Special Investigation Unit - Hybrid, Indiana Residency Required
Required:
- Three (3) years’ experience in fraud, waste, and abuse audits and/or investigations; internal audits and/or investigations; and/or criminal audits and/or investigations, with direct, related complex progressive experience, including two (2) years’ experience in a management role with direct reports leading or assisting in all phases of effective supervision (i.e.. Recruitment, performance management, training).
- Candidate must be approved by the Indiana Medicaid agency prior to hiring and the agency may ask to interview candidate.
Preferred:
- 2 years’ experience and knowledge of HMO, PPO, TPA, PHO and managed care functions (e.g. marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements.
- Certification as a Certified Fraud Examiner (CFE), Certified Professional Medical Auditor or Accredited Healthcare Fraud Investigator
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
