What Will Your Job Look Like?

The SIU Analyst (Special Investigations Unit SIU) plays a vital role in ensuring MTMs overall contractual compliance by partnering with various departments throughout the organization to develop and implement long-term compliance solutions. The SIU Analyst is responsible for monitoring potential Fraud, Waste, and Abuse (FWA) by reviewing and analyzing data to determine trends. The SIU Analyst

uses the information and trends to create strategies for potential fraud, waste, and abuse. As strategies are implemented, the SIU Analyst will study the effects of the strategies and determine how they can be improved or modified.

This is hybrid role of work from home and in-office at our Lake St. Louis location.

What Youll Do:

• Create contractual compliance monitoring tools and matrixes to ensure compliance metrics are sustained, follow best practices, and ensure all validation and quality requirements are met and documented
• Utilize large datasets to identify potential compliance deficiencies and monitor and maintain audits to reduce or define deficiencies
• Design and implement methods to gather, analyze and continually assess risk with the objective of helping solve problems
• Looks for and identify key fraud trends in data analyzed
• Analyze and understand new fraud trends, patterns, and techniques
• Develop project plans, tracking and trending mechanisms to correct any identified deficiencies as well as identify focus areas for improvement to strengthen MTMs Compliance Program
• Read, comprehend, and apply contract document requirements, including application of contract verbiage and requirements for the operational processes of the organization
• Facilitate internal audits including, conduct process reviews, conduct transportation provider focus audits, and document and report audit findings
• Communicate information to Compliance Committee, Department heads and Executive Leadership; present findings as necessary to Leadership and external stakeholders
• Compile records, reports, investigation results, and audit findings as requested for external clients and state entities
• Monitor operational SLAs for Executive Leadership Team and identify risks for consideration
• Provide recommendations for systematic internal controls and process changes to ensure ongoing compliance for corrected deficiencies; includes assisting in implementation of remediation to address compliance concerns
• Proactively identify, prevent, and report potential FWA to Leadership and external clients, make determinations for cases involving fraud, appeals, denials and LDs, and make recommendations for improvement based on findings
• Manage and/or assist with other internal and external special projects and tasks as needed
• Collaborate with other departments and provide education of protocols, processes and procedures
• Manipulate data using data analysis tools to discover insights
• Generate and deliver reports from data analysis
• Offer suggestions and direction from analysis to help guide organization decision-makers
• Collaborate with different teams and departments to provide expertise and insight
• Act as back-up to co-workers as required and cross-train in all department functions
• Fully engage in team communication and, on occasion, provide guidance to team as appropriate
• Recommend solutions and process changes to eliminate issues from reoccurring
• Assist lead investigators through administrative support including client facing communications and activities
• The role requires a curious learner who takes initiative and is adaptable to changing business needs
• Analyze and take ownership of outcomes and make appropriate adjustments for the future by developing correspondence and investigations to meet or exceed the defined standards of quality and productivity expectations
• Complete compliance training and adhere to internal procedures and controls, as required

What Youll need:

• High School Diploma or G.E.D.
• Bachelors Degree or equivalent relevant experience
• 4 years experience in a Fraud Analyst or similar role
• Experience managing multiple priorities and initiatives with stringent deadlines
• Proficient in the use of Microsoft Office Applications to include Microsoft Word, Outlook, PowerPoint and SharePoint. Advanced Excel skills is required

Even better if you have...

• Certified Fraud Examiner (CFE) certificate preferred
• Previous experience in contract compliance and/or operational auditing role preferred
• Basic understanding of SQL and/or XML preferred
• Detail-oriented, thorough, and systematic/methodical approach to projects
• Strong analytical and problem-solving skills
• Strong project management and organizational skills
• Strong communication skills
• Basic to intermediate understanding of data base/system concepts and/or design
• Ability to complete basic to intermediate data analysis and trending
• Ability to multi-task, set priorities, meet deadlines, and work well under pressure and in a fast-paced environment
• Ability to maintain high level of confidentiality
• Regular attendance is required

Whats in it for you:

Health, Life Insurance, Dental and Vision Plans

401(k) with a company match

Flexible Scheduling

Paid Time Off, Holiday Pay and Birthday Holiday

Maternity/Paternity Leave

Casual Dress Environment

Tuition Reimbursement

MTM Perks Discount Program

Leadership Mentoring Opportunities

Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact MTMs People and Culture.

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Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity