Sr Director Special Investigation Unit
GuideWellJacksonville, Florida, United States
Posted January 15, 2026
136000 - 221000 USD year
Full Time
About the Company
Florida Blue is an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission.
Job Description
The Sr. Director, Special Investigation Unit (SIU) is responsible for developing and implementing organization-wide strategies to prevent, detect, and refer for prosecution fraud, waste and abuse (FWA) involving providers, members, agents, and other stakeholders.
Requirements
- 10+ years' related work experience - combination of fraud investigations, auditing, data analysis and compliance.
- Broad knowledge of health care industry practices and applicable regulatory requirements.
- Strong knowledge of government program requirements (e.g., Medicare, Affordable Care Act).
- 3+ years’ direct supervisory/management experience.
- Related bachelor's degree or additional equivalent work experience.
- Extensive knowledge of fraud and auditing concepts and strong investigatory skills.
- Excellent interpersonal and proven leadership skills with a demonstrated ability to establish relationships with senior executives across all business units.
- Proven skills at developing and maintaining effective working relationships with a variety of federal, state, and local law enforcement agencies or similar experience.
Benefits
- Medical, dental, vision, life and global travel health insurance;
- Income protection benefits: life insurance, short- and long-term disability programs;
- Leave programs to support personal circumstances;
- Retirement Savings Plan including employer match;
- Paid time off, volunteer time off, 10 holidays and 2 well-being days;
- Additional voluntary benefits available;
- A comprehensive wellness program
