- Providence (CA)
- …will:** + Support timely completion of compliance related audits and investigations of the Special Investigations Unit ( SIU ) at the Health Plan + ... must empower them._** **Providence Health Plan is calling an Investigator , Special Investigation Unit who...multiple cases and audits simultaneously + May assist Senior Investigator or SIU Director in developing, implementing… more
- Capital One (Richmond, VA)
- …(12073), United States of America, Richmond, Virginia AML Sr. Investigator I - Special Investigations Unit **Anti-Money Laundering Sr. Investigator I ... Unit , Special Investigations Unit ** **Anti-Money Laundering (AML) Sr Investigator I**...- Self-manage a queue of alerts, cases, and closing investigations -Helps maintain operations of a SIU … more
- The Robison Group (Memphis, TN)
- …opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU Investigator , you will be joining an incredible team ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… more
- Allied Universal (Houston, TX)
- …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr. Fraud Investigator SIU ( Special Investigations Unit ) assists in the implementation and daily operation of the ... audits and investigations conducted **Job Title: Sr. Fraud Investigator ( SIU )** **Location: Pearland Administrative Office** **Department:** **Health Plan… more
- Capital One (Richmond, VA)
- West Creek 3 (12073), United States of America, Richmond, Virginia Special Investigations Unit ( SIU ) Anti-Money Laundering Supervisor **Job Title:** ... Anti-Money Laundering (AML) Supervisor, also referred to as an AML Sr. Investigator II, supervises various AML processes, which might include suspicious activity … more
- State of Minnesota (Minneapolis, MN)
- …resources, and training and development opportunities. As the Assistant Inspector General over the Special Investigations Unit ( SIU ) in the Office of ... **Working Title: Assistant Inspector General, Special Investigations Unit -...responsible for supervising and directing the activities of the SIU . Duties will include: + Leading a team of… more
- USAA (Minneapolis, MN)
- …part of what makes us so special ! **The Opportunity** As a dedicated SIU investigator , within defined guidelines and framework, you will protect USAA and our ... and medical terminology. **What sets you apart:** + Current or prior SIU investigations experience working in diverse teams across multiple functions within … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …15 miles north of Seattle, Washington.** **What you'll do:** + Lead Premera's Special Investigations Unit in driving the development, implementation, and ... serve through our Healthsource blog: https://healthsource.premera.com . As a **Senior Manager of the Special Investigation Unit ( SIU )** , you will lead a… more
- Centene Corporation (Olympia, WA)
- …and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud ... and abuse. + Conduct investigations of potential waste, abuse, and fraud + Document...referral to Federal and State agencies + Complete various special projects and audits **Education/Experience:** Bachelor's Degree in Business,… more
- Allied Universal (Billings, MT)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our diverse and inclusive team is… more
- Commonwealth Care Alliance (Boston, MA)
- … Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit ( SIU ). The position reports directly to the Sr. ... CCA departments related to review processes and results. Sr Associate, FWA Investigator Coder utilizes claim analysis, document review, coding knowledge and applies… more
- CareFirst (Baltimore, MD)
- …+ Perform special projects to meet the objectives of the Special Investigations Unit . **QUALIFICATIONS:** **Education Level:** Bachelor's Degree OR ... to the SI team to support both prepayment reviews and/or post-payment investigations . **ESSENTIAL FUNCTIONS:** + Review of medical records and claims. + Investigate… more
- DCCA (Columbia, MD)
- …strong communication skills Desired Skills : . Healthcare Fraud Programs . Special Investigations Unit ( SIU ) experience Education/Certifications: ... . Bachelor's Degree . Accredited Health Care Fraud Investigator (AHCFI) certification preferred . Certified Professional Compliance Officer (CPCO) certification… more