{"id":3189510,"url":"https://alion.io/job/rgp-siu-compliance-manager","title":"SIU Compliance Manager","company":{"id":1952804,"name":"RGP","domain":"rgp.com","url":"https://alion.io/company/rgp-com","size_band":null,"is_staffing_agency":true,"employer_type":"agency","is_intermediary":false,"listed_via":null,"ats_vendor":"Avature","truth_index":null},"role":"Management","role_family":"Management","seniority":null,"employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Los Angeles, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":45,"max":60,"currency":"USD","period":"hour","gross":null,"usd_annual":120000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[],"status":"live","first_seen_at":"2026-10-24T01:16:05Z","employer_posted_date":"2026-10-24","last_verified_at":"2026-11-10T14:06:45Z","board_verified":true,"closed_at":null,"days_open":17,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":17},"description":"About This Role\nOur healthcare payer client needs additional SIU (Special Investigations Unit) support to handle a heavy caseload of fraud, waste, and abuse (FWA) investigations. The role is critical for maintaining compliance with state and federal regulations and ensuring claims integrity.\nPay Range: $45-60/hour W2 + benefits | 6-12-month project opportunity\nWhat You Will Work On\nKey Responsibilities\nReview medical records, claims, and supporting documentation for clinical consistency, completeness, and compliance.\nIdentify potential indicators of fraud, waste, and abuse, including:\no Cloning of medical documentation\no Upcoding\no Billing inconsistencies\no Unsupported services and procedures\no Medical necessity concerns\nConduct initial reviews and assessments of complex healthcare cases to determine potential compliance risks.\nAnalyze documentation to validate medical necessity and appropriateness of billed services.\nCollaborate with SIU investigators and leadership to support ongoing investigations.\nDocument findings and provide clear recommendations for further review or action.\nStay informed of healthcare regulations, billing guidelines, and industry best practices.\nWhat You Will Bring\nQualifications\nExperience in healthcare investigations, healthcare compliance, SIU, clinical auditing, utilization review, medical record review, or related healthcare oversight functions.\nStrong understanding of medical necessity criteria and healthcare documentation standards.\nKnowledge of healthcare fraud schemes, billing practices, and claims review methodologies.\nExperience reviewing complex medical records and identifying documentation discrepancies.\nAbility to analyze clinical information and communicate findings effectively.\nPreferred Background\nClinical background strongly preferred.\nExperience in healthcare payer, managed care, SIU, fraud investigations, clinical auditing, or healthcare compliance environments is highly desirable.\nWhat You Can Expect\nAn inspirational place for you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies and qualities that set our team apart.\nCompensation commensurate with your qualifications, experience, and other factors including geographic location, market and operational factors. \nTotal Rewards include: Medical, Dental, Vision, Life Insurance, Disability Insurance, 401(k) Savings Plan, Employee Stock Purchase Plan, Professional Development Program, Paid Time Off and Paid Sick Time (in geographies where legally required).\nWhat We Do\nAt RGP, we're creating a future where businesses produce their best work without constraints. We've built a global network of over 2,600 experts across four regions, providing a comprehensive suite of solutions across on-demand talent, next-generation consulting, and outsourced services to support organizations at every stage of their growth journey. Trusted by Fortune 100 companies and emerging disruptors alike, we challenge conventional ways of working, drive growth, and pave the way for long-term success through bold innovation and fearless collaboration.\nOur values guide everything we do and strengthen our commitment to people. By combining smart processes, human-centered design, and advanced technology, we celebrate our team's excellence and ensure we grow together. We believe in the power of continuous learning and development to drive both individual and organizational success. It’s time to rethink how work gets done. Dare to Work Differently® with RGP.\nRGP is proud to be an Equal Opportunity Employer and committed to creating an inclusive environment for all employees. 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