Amanda Spangler

Background

About Amanda Spangler

I began my career as a healthcare fraud investigator in August 2015 after obtaining my Bachelors of Criminal Justice where I graduated as Valedictorian. My first role in the industry was as an associate investigator for UnitedHealthcare Military & Veterans. In this role I triaged all incoming referrals, conducted preliminary research including claims systems, conducted member interviews, and set up fraud cases when warranted. I also completed fraud cases of my own resulting in overpayments and submissions to the Defense Health Agency. I genuinely enjoyed bringing TRICARE funds back to beneficiaries and making a difference. After the Military & Veterans contract, in February of 2017 I moved to an analyst role where I generated leads and referrals for submission to SIUs. In this role I attended information sharing sessions, conducted preliminary research on providers, reviewed policies & guidelines, conducted extensive data analysis, and wrote formal reports for submission to the SIU. While in this role I also obtained my CPC. In July of 2019 I was offered a position as a Lead Investigator for Optum SIU's East Region. My primary responsibilities in this role included supporting 13 investigators in their casework, inventory management, assigning cases, training, and implementing and improving processes and procedures. I was also responsible for working fraud cases of my own. In the Fall of 2020 Optum SIU grew substantially and the number of investigators I oversaw grew from 13 across one region to 46 across 3 regions, which is where I sit today. My goal is simple - I want to lead an SIU in being the best in the industry through conducting superior investigations, staying abreast of evolving schemes, and sending a strong message to aberrant providers that fraudulent behavior will not go unchecked and consequences will be serious.