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Siu Director Jobs (NOW HIRING)

centralins

Anti-Fraud Manager

Waltham, MA · On-site +1

Supervises the day-to-day investigative activity of SIU field/desk investigations and support activities throughout regions. * Acts as the direct liaison with the various Claims Staff, Departments of ...

centralins

Anti-Fraud Manager

Dublin, OH · On-site +1

Supervises the day-to-day investigative activity of SIU field/desk investigations and support activities throughout regions. * Acts as the direct liaison with the various Claims Staff, Departments of ...

Clearbrook Group Services Inc.

SIU Analyst

Omaha, NE · On-site

$86 - $110/hr

This position reports to the Director, SIU & Compliance in Richmond, VA. This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard ...

Brookfield

SIU Analyst

Omaha, NE · On-site

This position reports to the Director, SIU & Compliance in Richmond, VA. This is a 100% in-office position . Candidates must be able to work on-site at a designated company office during standard ...

Argo Group

SIU Analyst

Omaha, NE · On-site

$80 - $100/hr

This position reports to the Director, SIU & Compliance in Richmond, VA.This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard ...

Allied Universal

SIU Investigator

Fresno, CA · On-site

$30 - $38/hr

... as directed * Produce professional and expert reports, memos, and letters that are clear, concise ... Special Investigative Unit (SIU) Compliance knowledge * Ability to type 40+ words per minute with ...

Berkley

SIU Manager

Urbandale, IA · On-site

Responsibilities The SIU Manager is responsible for assisting with leading our anti-fraud efforts ... Direct the investigation of complex, high-value, or sensitive cases involving potential fraud ...

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Siu Director information

What is an SIU director?

A SIU (Special Investigations Unit) Director oversees and manages an organization's fraud detection and investigative functions, typically within insurance companies or healthcare organizations. They develop strategies to identify, investigate, and prevent fraudulent activities while ensuring compliance with regulations. The role involves leading a team of investigators, coordinating with law enforcement, and implementing policies to mitigate risks. Strong analytical, leadership, and regulatory knowledge are essential for success in this position.

What are the key skills and qualifications needed to thrive as an SIU director?

To thrive as a SIU Director (Special Investigations Unit Director), you need a deep understanding of insurance claims processes, fraud detection methodologies, and a relevant bachelor's degree—often in criminal justice, finance, or a related field. Familiarity with fraud analytics software, case management systems, and certifications such as Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) are commonly required. Strong leadership, analytical thinking, effective communication, and decision-making skills set exceptional SIU Directors apart. These skills ensure the effective management of complex investigations, compliance with legal standards, and the protection of company assets.

What are some typical challenges faced by an SIU director, and how can I succeed in managing them?

SIU Directors often handle complex, high-profile investigations involving insurance fraud, which can require balancing thorough analysis with timely decision-making under pressure. Managing a team of investigators, coordinating with law enforcement, and ensuring all investigations comply with evolving regulatory standards are frequent challenges in this role. Success comes from maintaining up-to-date knowledge of industry trends, fostering a collaborative team environment, and employing advanced analytical tools to detect and prevent potential fraud. SIU Directors who excel at cross-departmental communication and proactive problem-solving are better positioned to lead effective investigations and support organizational integrity.

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Siu Director jobs near you
Infographic showing various Siu Director job openings in the United States as of August 2026, with employment types broken down into 82% Full Time, 11% Part Time, and 7% Contract. Highlights an 67% In-person, and 33% Remote job distribution.

Manager - Special Investigations (SIU)

Imedica

Minnetonka, MN • On-site

$78K - $134K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

This position is responsible for supervising, training, and the overall performance of Medica’s Special Investigations Unit (SIU) investigative staff. Additionally, this position is responsible for the preparation of reports and statistical dashboard for all Special Investigation Unit (SIU) business functions. This position works collaboratively with the Director, Special Investigations to design and produce reports on SIU activity for other Medica business units, as well as develop educational communication to raise awareness of fraud, waste and abuse detection and prevention at Medica.
 
The Manager - Special Investigations must be customer focused, able to multitask, retain a large amount of knowledge, have strong organizational skills and enjoy working in a team environment. This individual will respond to customers with a high level of accuracy and timely follow-up. In written responses, the Manager must work proactively with SIU staff and business segment leadership to anticipate emerging patterns of fraud and abuse and collaborate to develop strategies to reduce any business impact to Medica. Manager - Special Investigations will utilize online tools and resources to efficiently and effectively identify potential fraud or abuse in claims data. This position requires sensitivity and understanding plus the knowledge and resources to quickly resolve problems.
 
This position is responsible for building solid relationships with leaders in other departments (Compliance, Government Programs, Individual and Family Business, and Operations). Excellent verbal and written communication and interpersonal skills are required to effectively collaborate with other internal Medica departments as well as external parties. Performs other duties as assigned.

Key Accountabilities

  • Manage performance and hold staff accountable for meeting department standards for quality, turnaround time, and attendance. Formulate action plans for substandard performance
  • Conduct regular one on ones with team members
  • Establish annual goals and objectives for the team, ensures quarterly check-in’s are completed, prepare and present Performance Reviews
  • Clearly communicates team and individual expectations
  • Ensure all team members have the training and tools they need to perform the job successfully
  • Collaborate with leaders and others as appropriate within the organization to ensure consistent, effective and timely communication and problem resolution
  • Coach, encourage and facilitate individual growth and development through specific, timely, and consistent feedback. Promote a coaching culture
  • Backup and support SIU Director, as needed, in various meetings, projects and work groups
  • Provide technical support to staff by researching and responding to their questions. Provide insight and offer suggestions/solutions to team issues
  • Review incoming referrals and as appropriate assign for investigation and follow-up
  • Review investigations closed by investigative staff to ensure that the investigation was thorough and investigative outcome is appropriate
  • Produce a monthly statistical dashboard of investigative activity for distribution to segment leaders
  • Prepare monthly, quarterly and annual SIU investigation summary reports for various internal Medica compliance committee meetings, Medica’s Board of Directors and Medica leadership

Required Qualifications

  • Bachelor's degree or equivalent
  • 5 years of healthcare, insurance or law enforcement investigative experience
  • 2 years of leadership experience

Preferred Qualifications

  • Excellent verbal and written communication skills
  • Have excellent interpersonal skills and the ability to handle ambiguity
  • Analytical/Problem Solving and presentation skills
  • Organized/Able to Multi-Task
  • Highly Motivated/Self-Starter
  • Customer Focused
  • Working knowledge of regulatory enforcement environment
  • Ability to identify, trend and analyze data for communication and process improvements
  • Proficient with Microsoft Office Suite

This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.

The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

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