AVP, Special Investigations Unit

The AVP, Special Investigations Unit leads the organization’s efforts to detect, investigate, and prevent healthcare fraud, waste, and abuse to safeguard assets and reduce costs. The role defines SIU strategy, capabilities, and analytics tools while positioning the unit to address evolving FWA schemes and integrating with Payment Integrity. The AVP is an external-facing leader who collaborates with regulators, law enforcement, and industry partners to support investigations and reporting.