- LA Care Health Plan (Los Angeles, CA)
- …Fraud, Waste and Abuse (FWA) is responsible for directing LA Care Health Plan's enterprise special investigations unit ( SIU ) and FWA program. The ... disciplining, and motivating direct reports. Duties Leadership and Program Oversight: Lead LA Care's Special Investigations Unit ( SIU ) in overseeing the… more
- UPMC (Pittsburgh, PA)
- …4:30 pm This is a remote position. Under the direction of the manager, the Special Investigations Unit ( SIU ) Investigator is responsible for ... UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position....supporting current SIU staff and manager with investigations and special projects. Responsibilities: + Maintain… more
- The Robison Group (Brooklyn, NY)
- …writing, reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and...+ Make sound judgments during the course of the investigation . + Provide timely progress updates. + Complete detailed… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager, SIU , the Team Lead is responsible to lead a small team of investigators and provide ... on daily investigative activities as a back-up to the SIU Manager. This position will be accountable for tracking...Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- Molina Healthcare (Louisville, KY)
- … investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU referral intake and investigation process while giving guidance and ... direction to team on case investigation steps and actions. + Works with leadership to maintain and revise policies and procedures, fraud, waste, and abuse plans,… more
- City of New York (New York, NY)
- …and enforcing child support orders. Within the OCSS Division of Enforcement Operations, the Special Investigations Unit ( SIU ) is responsible for ... denial, property executions against any financial institutions, and garnishment of wages. Special Investigations is charged with locating absent parents and… more
- Allied Universal (Salem, NH)
- …best, explore a career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Kemper (Pomona, CA)
- …required by law and management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. + Develops and ... experience to our stakeholders that delivers on our promises._ **Position Summary** The SIU Investigator III is responsible for the investigation of complex,… more
- Kemper (Doral, FL)
- …bureaus and cooperates with state agencies as required by law and management. Keeps the Special Investigation Unit and field managers advised of all critical ... of insurance claims referred to and accepted for investigation by the Special Investigative Unit...and/or directing Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department… more
- Capital One (Plano, TX)
- AML Sr Investigator II- SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations ... (SME)** will work closely with key stakeholders in the SIU and outside of the SIU when...+ Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in… more
- Elevance Health (Seattle, WA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU ** **Location:** This role enables associates to work virtually full-time, with the… more
- City of New York (New York, NY)
- …Counsel, the Family Court, other OCSS divisions, OTDA, and other jurisdictions. The Special Investigations Unit ( SIU ) identifies and investigates ... senior management oversight and direction for OCSS' Administrative Enforcement, Interstate, Special Investigations and Employment Services Units. The incumbent… more
- New York State Civil Service (Buffalo, NY)
- …phones, photocopying, and other tasks, as needed. DCI is NYSIF's special investigations unit for the detection, investigation , and prevention of fraud, ... HELP No Agency Insurance Fund, State Title Department of Confidential Investigations Intern Occupational Category Other Professional Careers Salary Grade NS… more
- Elevance Health (Indianapolis, IN)
- …law. **Position Overview:** Responsible for providing leadership and guidance to the Special Investigations Unit **Pharmacy** team in investigating, ... with the administration and operational activities occurring within the Special Investigations Unit for **pharmacy...research findings + Provides guidance to investigators and other SIU staff in the development of criminal and recovery… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Analyst - Investigator (ICA-I) have many of the same skills that an insurance company Special Investigations Unit ( SIU ) or similar investigators have and ... Iowa Agency that is responsible for the regulation and investigation of potential violations of Iowa Code within the...that would assist an applicant would be: + Private investigations . + Insurance company ( SIU ) or internal… more
- Point32Health (Canton, MA)
- …individuals to join our organization as an Analytics & Triage Fraud Analyst within our Special Investigations Unit (" SIU "). The Analytics & Triage Fraud ... Analyst is an essential team member of the SIU , responsible for analyzing claim trends, patterns and outliers, developing and refining queries to detect potentially… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more
- Command Investigations (Detroit, MI)
- … Investigations ) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator. SuperiorX ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to ... the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving...and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities… more
- Point32Health (Canton, MA)
- …essential team member of the Special Investigation Unit (" SIU ") responsible for leading complex provider investigations related to fraud, waste, and ... be responsible for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the Manager, FWA Prepayment Review. The… more