Supervises the investigation function for an office, group or customer. Supervises the work of Investigative team including all levels of investigations, Medical Review and/or support staff. Ensures all complaints, leads and investigations are monitored, thoroughly worked and documented. Interface with regulatory agencies both state and federal. Extensive knowledge of Medicare, Medicaid program laws, regulations, resources and documentation. Creates and implements well defined work processes, establishes priorities, monitors and distributes workload. Creates and conducts investigation-related training. Foster relationships with and collaborate with business segments in organization. Supports legal proceedings as needed, including testifying in court or working with law enforcement personnel to prepare cases for civil or criminal actions. Negotiates settlement agreements to resolve disputes. Participates in special projects as required.