SIU Coordinator: Healthcare Investigations Lead

Independent Living Systems, llc; Miami (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Independent Living Systems (ILS) is seeking a Special Investigative Unit Coordinator to oversee investigations of fraud, waste, and abuse in healthcare programs. You will lead investigators and coordinate with internal departments, regulators, and legal entities.

Qualifications include a Bachelor’s degree in Criminal Justice, Healthcare Administration, or related field and at least 3 years of healthcare investigations or compliance experience with HIPAA and Medicare/Medicaid rules.

Qualifications

• Bachelor’s degree in Criminal Justice, Healthcare Administration, Social Work, or a related field.
• Minimum of 3 years of experience in healthcare investigations, compliance, or a related area.
• Strong knowledge of healthcare laws, regulations, and compliance standards including HIPAA and Medicare/Medicaid rules.
• Proven experience in managing investigative teams or projects.
• Relevant Experience may substitute for educational requirement on a year-for-year basis.

Responsibilities

• Demonstrates commitment to Our Mission and models that ILS Standards of Excellence.
• Manage and coordinate investigations of suspected fraud, waste, and abuse within healthcare programs, ensuring compliance with legal and regulatory requirements.
• Develop and implement investigative plans while maintaining confidentiality and security of sensitive information.
• Supervise, train, and support investigative staff, overseeing performance, case management, and professional development.
• Collaborate with internal departments and external agencies, including compliance, legal, clinical teams, law enforcement, and regulators.
• Prepare detailed reports, track investigative trends, and present findings to leadership, recommending policy or procedural changes to strengthen compliance and risk management.

Skills

Investigations

Team leadership

Regulatory compliance

Education

Bachelor’s degree (Criminal Justice, Healthcare Administration, Social Work)

Master’s degree or professional certification (CFE/CHC)

Tools

Investigative software

Job description

Independent Living Systems (ILS) is seeking a Special Investigative Unit Coordinator to oversee investigations of fraud, waste, and abuse in healthcare programs. You will lead investigators and coordinate with internal departments, regulators, and legal entities.

Qualifications include a Bachelor’s degree in Criminal Justice, Healthcare Administration, or related field and at least 3 years of healthcare investigations or compliance experience with HIPAA and Medicare/Medicaid rules.