- State of Massachusetts (Boston, MA)
- …mission-driven individual to fill the role of Area Program Manager (APM) for the Special Investigations Unit ( SIU ). The Special Investigations ... DCF employees and specific community stakeholders. The Area Program Manager is a member of the SIU ...& Families* **Title:** *Area Program Manager - Special Investigations Unit * **Location:** *Massachusetts-Boston-600… more
- State of Minnesota (Minneapolis, MN)
- **Working Title: Assistant Inspector General, Special Investigations Unit - State Prog Admin Manager Sr** **Job Class: State Program Administrator, ... / annually + **Classified Status** : Classified + **Bargaining Unit /Union** : 220 - Manager /Unrep + **FLSA...development opportunities. As the Assistant Inspector General over the Special Investigations Unit ( SIU… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …through our Healthsource blog: https://healthsource.premera.com . As a **Senior Manager of the Special Investigation Unit ( SIU )** , you will lead a team ... 15 miles north of Seattle, Washington.** **What you'll do:** + Lead Premera's Special Investigations Unit in driving the development, implementation, and… more
- Elevance Health (Woburn, MA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
- Citigroup (Florence, KY)
- …drive the SAR management process from Start to Finish. + Conduct investigations of potentially suspicious and/or high-risk clients and communicate with other ... Citigroup AML monitoring units + Advise senior management on filing Suspicious Activity Reports (SARs) and/or relationship termination or retention + Prepare case files for review, and conduct and document all research and analysis + Use subject matter… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …health and medical management, network management, business operations, payment policy, legal, special investigations unit , audit and risk management, ... Federal Employee Program (FEP) Department is a full business unit comprised of approximately 140 associates. It encompasses a...Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse, is responsible… more
- RELX INC (Atlanta, GA)
- …Risk at the link below. https://risk.lexisnexis.com/government About our Team The Public Safety Special Investigative Unit ( SIU ) is comprised of former law ... offerings to provide real-time investigative insight for LexisNexis customers. The Public Safety Special Investigative Unit ( SIU ), also serves to work with… more
- AIG (Atlanta, GA)
- …to manage risk. Join us as a Claims TPA Regulatory Governance and Performance Manager to play your part in that transformation. It's an opportunity to grow your ... for General Insurance. Your Contribution at AIG as a TPA State Regulatory Performance Manager : As a Leader within the TPA Claims Governance team and an influencer at… more
- Morgan Stanley (Purchase, NY)
- …Field Management, other parts of Risk, Legal, Compliance, Global Financial Crimes, SIU , among others. *PRIMARY RESPONSIBILITIES:* This person will report to an MD. ... Stanley sponsored benefit programs. * #LI-AJ1 **Job:** **Wealth Management* **Title:** *Conduct Risk Manager * **Location:** *New York-Purchase* **Requisition ID:**… more
- Travelers Insurance Company (Columbus, OH)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- Travelers Insurance Company (Columbia, SC)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- Travelers Insurance Company (Clarksville, TN)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- The Cigna Group (Bluffton, SC)
- …Guidance and ICD-10 coding guidelines; *Collaborates with all areas of compliance, the special investigations unit , and business owners to drive process ... business units. + Reports to the Part C Legal Compliance Manager ;*Monitors transactions and business processes associated with reconciling ICD-9/ICD-10 codes… more
- Travelers Insurance Company (Richmond, VA)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- Sysco (Cincinnati, OH)
- …maintenance under the guidance of fleet technician II & III or fleet manager on vehicles and equipment to maximize the safety, reliability, and cost efficiency ... fleet technician II & III or fleet supervisor or manager in accordance with all federal, state and local...manufacturers + Apprentice will be required to complete Sysco SIU training modules for safety and other required courses.… more
- Travelers Insurance Company (Houston, TX)
- …in on-going training sessions for the inside auto business. + Works closely with Unit Manager or mentor to promptly resolve assigned claim. + Customer ... and forwards appropriate files to subject matter experts (ie, Subrogation, SIU , Property, Adverse Subrogation, etc.). + Reserving: + Establishes timely and… more
- The Robison Group (Nashville, TN)
- …with education and experience. OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. ... Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance… more
- CVS Health (Trenton, NJ)
- …and affordable. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network responsibilities as provided ... information from Providers, such as HEDIS, Credentialing, Grievance and Appeals, SIU , etc. Coordinates provider status information with member services and other… more
- Conservation Legacy (Carbondale, IL)
- …including the Shawnee National Forest and award-winning Shawnee Hills Wine Trail, home to SIU Carbondale - a major research university, and is within a day's drive ... interviewing, and/or onboarding process, please send your request to the hiring manager in your preferred method of communication. Required Skills Preferred Skills… more