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Remote Siu Investigator Jobs (NOW HIRING)

Devoted Health

SIU Investigator

Nottingham, MD · On-site +1

$58K - $90K/yr

Our Special Investigations Unit (SIU) is looking for a skilled Investigator to join our dedicated ... Certified Professional Coder (CPC) #LI-DS1 #LI-Remote Salary range: $58,000 - $90,000 /year The pay ...

USAA

SIU Investigator Senior (Major Case Unit)

Miami, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... The Opportunity We are looking for a dedicated SIU Investigator Senior - Major Case Unit. Within ...

USAA

SIU Investigator Senior (Major Case Unit)

Miami, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... The Opportunity We are looking for a dedicated SIU Investigator Senior - Major Case Unit. Within ...

USAA

SIU Investigator Senior (Major Case Unit)

Miami, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... The Opportunity We are looking for a dedicated SIU Investigator Senior - Major Case Unit. Within ...

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How much do remote siu investigator jobs pay per year?

As of Jun 15, 2026, the average yearly pay for remote siu investigator in the United States is $75,325.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $98,500.00 per year, depending on experience, location, and employer.

What is a Remote SIU Investigator job?

A Remote SIU (Special Investigations Unit) Investigator is responsible for investigating potential insurance fraud, waste, or abuse while working remotely. They analyze claims, interview witnesses, review records, and collaborate with law enforcement or legal teams to detect fraudulent activities. This role requires strong analytical skills, attention to detail, and knowledge of insurance regulations and investigative techniques. Remote SIU Investigators typically work for insurance companies or third-party investigative firms and use digital tools to conduct their investigations efficiently.

What are some typical challenges faced by Remote SIU Investigators, and how do they overcome them?

Remote SIU Investigators often face the challenge of gathering and verifying evidence without being physically present at the scene, which requires creativity and resourcefulness in conducting virtual interviews, collecting digital records, and analyzing documentation. Effective time management and the ability to prioritize multiple ongoing investigations are also essential, given the volume and complexity of cases. To overcome these challenges, investigators rely heavily on strong digital communication skills, robust organizational practices, and close collaboration with field investigators, law enforcement, attorneys, and internal teams. Many companies provide comprehensive training, regular team meetings, and advanced digital tools to support remote work success in this field.

What are the key skills and qualifications needed to thrive in the Remote Siu Investigator position, and why are they important?

To thrive as a Remote SIU Investigator, you need a background in insurance claims, fraud detection, and investigative techniques, often supported by a degree in criminal justice or a related field and relevant SIU experience. Familiarity with case management software, claims databases, and, in some cases, industry certifications like CIFI or FCLS is expected. Strong analytical thinking, attention to detail, and effective written and verbal communication skills help investigators excel when working independently and reporting findings. These skills ensure thorough investigations, timely resolution of cases, and compliance with legal and regulatory standards.

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Remote Siu Investigator jobs near you
SIU Investigator

SIU Investigator

Devoted Health

Nottingham, MD • On-site, Remote

$58K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Devoted Health rating

9.0

Company rating: 9.0 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

35th of 261 rated insurance

Job description

Job Description
A bit about this role:
Are you a highly analytical and experienced investigator with a passion for uncovering the truth and protecting vital healthcare resources? Our Special Investigations Unit (SIU) is looking for a skilled Investigator to join our dedicated team. In this crucial role, you'll be at the forefront of preventing, detecting, and responding to healthcare fraud, waste, and abuse (FWA), safeguarding our members and the integrity of the Medicare Fund. If you're driven by meticulous investigation, data-driven insights, and a commitment to justice, we encourage you to apply
Responsibilities and Impact will include:
As an SIU Investigator, you'll be responsible for the full lifecycle of complex FWA investigations, acting as a subject matter expert and collaborating with various stakeholders. Your key responsibilities will include:
  • Lead Complex Investigations: Plan, organize, and execute specialized investigations into allegations of healthcare fraud, waste, and abuse. This includes handling intricate cases requiring advanced investigative knowledge and skills
  • Data-Driven Detection: Utilize advanced data mining and analysis techniques to identify aberrancies and outliers in claims, medical records, enrollment, and other healthcare transactions. You'll independently research FWA issues and employ cutting-edge investigative resources.
  • Expert Guidance: Serve as a subject matter expert for other SIU Investigators, providing specialized knowledge and guidance to elevate team capabilities.
  • Policy & Strategy Development: Contribute to the development of robust policies and procedures related to FWA detection and investigation, as well as the annual SIU risk assessment and work plan
  • Thorough Documentation & Reporting: Conduct comprehensive FWA investigations, ensuring complete and accurate case documentation and detailed investigative reports that adhere to SIU policies and standards.
  • External Referrals & Collaboration: Prepare comprehensive summary and detailed reports on investigative findings for referral to federal and state agencies, ensuring full compliance with regulatory requirements. You'll also actively participate in OIG Healthcare Fraud Workgroups.
  • Stakeholder Engagement: Collaborate closely with internal stakeholders (e.g., FWA Monthly Workgroup, Market/Network, Credentialing Committee) to share updates on FWA schemes, coordinate recommendations, and facilitate fund recovery or other necessary actions.
  • Provider Education: Conduct impactful provider education sessions as a direct response to investigation findings and audits.
  • Liaison & Point of Contact: Serve as a key point of contact for corporate and field inquiries regarding FWA, and participate in meetings with providers, business partners, regulatory agencies, and law enforcement.
  • Training & Development: Assist in developing and presenting engaging FWA training programs for internal and external audiences.

Required skills and experience:
  • Education: A Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent relevant work experience.
  • Experience:
  • Minimum of 3 years of dedicated experience in health insurance fraud investigation.
  • Minimum of 5+ years experience as a detective or investigator for a law enforcement agency.
  • Proven experience within Medicare and/or Medicaid programs, specifically with medical claim billing, reimbursement, audit, or provider contracting.
  • Demonstrated experience with data analysis techniques.
  • Experience with the Healthcare Fraud Shield platform is a significant plus.
  • Exceptional Analytical Skills: Ability to interpret and dissect complex data sets, identifying patterns and anomalies indicative of FWA. Must have demonstrated experience with AI tools.
  • Outstanding Communication: Excellent written and verbal communication skills are essential for clear report writing, compelling presentations, and effective stakeholder engagement.
  • Integrity & Detail-Oriented: A strong commitment to integrity and compliance, coupled with meticulous attention to detail in all aspects of investigations.
  • Independent & Collaborative: Proven ability to work independently, manage a diverse caseload of investigations, and thrive in a fast-paced environment, while also excelling in collaborative team settings.
  • Strong Organizational Skills: Highly organized with the ability to manage multiple complex investigations simultaneously and effectively prioritize tasks.

Desired skills and experience:
  • Certified Fraud Examiner (CFE)
  • Certified Professional Coder (CPC)

#LI-DS1
#LI-Remote
Salary range: $58,000 - $90,000 /year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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