- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to...and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care. The SIU… more
- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role + Thorough...insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy , etc.) + Experience with UNET, Comet, Macess/CSP, or… more