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This position can be work from home anywhere in the United States. Must be flexible to work EDT hours (8:00 am - 5 pm EDT). The Special Investigations Unit (SIU) is looking for an analytically driven individual who is skilled at identifying outliers through data extraction and analysis. The lead reviewer is accountable for the validation of existing Fraud Waste and Abuse Business Rules and leads designed to detect aberrant billing patterns and reviewing incoming referrals to determine if additional investigations are warranted.