Manager, Special Investigative Unit/ Program Integrity/ CPC - Remote

City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara Health Plan is currently hiring a Manager, Special Investigative Unit/ Program Integrity / CPC - Remote! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm EST, M-F Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming. With travel to Virginia Beach 1x a year. Job Responsibilities: Position is responsible for managing a team of Special Investigative Unit (SIU) Investigators across multiple states. Is also responsible for reporting findings to appropriate government and regulatory agencies. Position requires extensive interaction with various internal departments as well as providers and government agencies. Responsible for reviewing and proposing updates to health plan rules and policies as they relate to fraud, waste and abuse. Provides compliance advice and assists with organizational change and compliance interpretation as it relates to fraud, waste and abuse. Leads the monthly FWA subcommittee meeting. Education: Bachelor’s degree REQUIRED Certifications/Licenses: Certified Professional Coder (CPC) REQUIRED Experience: 2 years of Supervisory