Director of Special Investigations

Health Care Service Corporation

. Lead the Special Investigations Department (SID) in Texas, Oklahoma, and New Mexico .

Posted 10/23/2026full-timeUnited StatesLead💰 $121,200 - $225,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in leading healthcare fraud investigations, managing departmental budgets, and fostering effective relationships with law enforcement and legal entities. Proficient in conducting complex investigations and ensuring compliance within healthcare programs.

Highest-signal resume keywords

Healthcare Fraud InvestigationsManagerial ExperienceLiaison Relationship DevelopmentCost-Benefit AnalysisAudit and Compliance Oversight

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Fraud InvestigationBudget ManagementComplex InvestigationsGovernment Program AdministrationHealthcare Compliance

Soft Skills

Verbal CommunicationWritten CommunicationInterpersonal CommunicationOrganizational SkillsAdministrative Skills

Certifications & Qualifications

Bachelor DegreeMaster’s Degree

Industry Keywords

Healthcare FraudWhite Collar FraudLaw Enforcement LiaisonCriminal ProsecutionEnterprise-Wide Intelligence

About the role

Key responsibilities & impact

Lead the Special Investigations Department (SID) in Texas, Oklahoma, and New Mexico
Direct all healthcare fraud investigations within Texas, Oklahoma, and New Mexico
Oversee SID’s Enterprise-Wide Intelligence Unit, identifying healthcare fraud schemes
Seek criminal prosecution of individuals and entities that defraud HCSC and its customers
Serve as primary liaison with the FBI, U.S. Department of Health and Human Services, and other law enforcement agencies
Partner with Legal, Medical, Network, and other HCSC departments on civil and criminal matters related to SID investigations
Oversee audit and compliance activities related to SID operations
Develop and manage the SID budget and related financial activities for Texas, Oklahoma, and New Mexico

Requirements

What you’ll need

Bachelor Degree
10 years experience in law enforcement or conducting complex health care fraud or white collar fraud investigations
4 years of managerial experience
Administrative and organizational skills
Clear and concise verbal, written, and interpersonal communication
Experience developing and maintaining effective liaison relationships
Translating needs and initiatives into compelling business cases
Conducting cost-benefit analyses to justify investments and ensure ROI
Experience in the administration of government programs (preferred)
Management and administration of health care fraud investigations (preferred)
Master’s Degree (preferred)
Employment may be contingent upon successful completion of drug screening in accordance with applicable law

Benefits

Comp & perks

Curated development plans and professional development
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives
Annual incentive bonus plan, subject to plan terms and conditions
Flex work arrangement with office attendance a minimum of three days a week