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Special Investigation Unit Manager Clinical Certified Professional Coder (Aetna SIU)

May 8, 2026

<p>Are you a highly skilled and knowledgeable Clinical Certified Professional Coder looking for a new and exciting opportunity? Aetna, one of the leading healthcare companies in the nation, is seeking a Special Investigation Unit (SIU) Manager to join our team. In this role, you will be responsible for managing and overseeing our SIU team, ensuring compliance with coding guidelines and regulations. This is a unique and challenging position where you will have the opportunity to use your expertise and leadership skills to make a positive impact on our organization. We are looking for a driven and motivated individual who is passionate about healthcare and has a strong background in medical coding. If you are ready for a new challenge and want to be a part of a dynamic and innovative team, we encourage you to apply for this position. Manage and oversee the Special Investigation Unit (SIU) team, providing direction and guidance to ensure efficient and effective operations. Ensure compliance with coding guidelines and regulations, including the Health Insurance Portability and Accountability Act (HIPAA). Use your expertise and knowledge of medical coding to identify and investigate potential fraud, waste, and abuse in healthcare claims. Develop and implement strategies to prevent and detect fraudulent activities within the company. Collaborate with internal and external stakeholders, including law enforcement and regulatory agencies, to facilitate investigations and resolve issues. Stay up-to-date on industry changes and updates related to medical coding regulations and guidelines. Lead and participate in training and development programs for the SIU team and other members of the organization. Monitor and analyze coding trends to identify potential areas of risk and make recommendations for improvement. Prepare reports and presentations on findings and recommendations for senior management. Act as a liaison between the SIU team and other departments within the organization to ensure effective communication and collaboration. Uphold ethical standards and maintain confidentiality in handling sensitive information. Represent the company in meetings and conferences related to medical coding and fraud prevention. Maintain accurate and organized records of investigations and outcomes. Foster a positive and professional work environment within the SIU team, promoting teamwork and continuous learning. Adhere to all company policies and procedures, as well as relevant laws and regulations.</p><p>Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.</p>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...