- LA Care Health Plan (Los Angeles, CA)
- Director, Compliance on Special Investigations Unit and Fraud, Waste and Abuse Job Category: Administrative, HR, Business Professionals Department: ... Special Investigations Unit Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12591 Salary Range: $135,136.00 (Min.) - $175,676.00… more
- The Robison Group (Brooklyn, NY)
- …and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will ... 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
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The AVP Special Investigations Unit (SIU) is responsible for overseeing and managing fraud, waste, and abuse (FWA) detection, ... analytics tools, and robust processes to identify FWA schemes and direct investigations to resolve issues effectively and efficiently. The AVP will develop… more
- City of New York (New York, NY)
- …enforcing child support orders. Within the OCSS Division of Enforcement Operations, the Special Investigations Unit (SIU) is responsible for obtaining child ... denial, property executions against any financial institutions, and garnishment of wages. Special Investigations is charged with locating absent parents and… more
- New York State Civil Service (Buffalo, NY)
- …include answering, phones, photocopying, and other tasks, as needed. DCI is NYSIF's special investigations unit for the detection, investigation, and ... HELP No Agency Insurance Fund, State Title Department of Confidential Investigations Intern Occupational Category Other Professional Careers Salary Grade NS… more
- MTA (Brooklyn, NY)
- …Posting: Open until till filled. Authority: TA/OA/MTA Bus Department: Office of the President Division/ Unit : Special Investigations & Review Reports to: VP ... Assistant Vice President- Special Investigations and Review Job ID: 12205 Business Unit : New York City Transit Location: Brooklyn, NY, United States… more
- Allied Universal (Burlington, VT)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator is to assist in the reduction and recuperation of ... projects as assigned by management to meet the needs of the Special Investigations Unit . **SUPERVISORY RESPONSIBILITY:** Position does not have direct… more
- Louisiana Department of State Civil Service (Bossier City, LA)
- …Office of State Police. Candidate must be POST certified in Louisiana. As part of the Special Investigations Unit , the focus of this position will rescue and ... Job This Criminal Investigator position is located with theSpecial Investigations Unitwith the Special Investigations ...in law enforcement or a criminal justice field. NECESSARY SPECIAL REQUIREMENTS: Applicants must be at least 18 years… 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 ... type calls that are non-criminal in nature. + Conduct investigations at scenes of incidents to which summoned or...other potentially hostile situations. + Direct traffic at fires, special events, and other emergency situations; provide traffic and… more
- City of New York (New York, NY)
- …the Family Court, other OCSS divisions, OTDA, and other jurisdictions. The Special Investigations Unit (SIU) identifies and investigates hard-to-collect ... senior management oversight and direction for OCSS' Administrative Enforcement, Interstate, Special Investigations and Employment Services Units. The incumbent… more
- UPMC (Pittsburgh, PA)
- … investigations highly preferred. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating ... making healthcare oversight referrals. - Plan, organize and execute dental investigations or dental audits utilizing document review, witness interviews, and data… 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
- Elevance Health (Costa Mesa, CA)
- …law. **Position Overview:** Responsible for providing leadership and guidance to the Special Investigations Unit **Pharmacy** team in investigating, ... manager with the administration and operational activities occurring within the Special Investigations Unit for **pharmacy Investigations ** ;… 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)
- …report on the effectiveness of corrective action plans. + Collaborate with the Fraud special investigations unit to ensure program meets CMS requirements. + ... in a lawful and ethical manner. + Manage the compliance unit 's administrative duties, including organizing and maintaining relevant documents; preparing necessary… more
- Dignity Health (Phoenix, AZ)
- …reporting mechanism and collaborate closely with the Internal Audit Department and the Special Investigations Unit (SIU), as applicable. + Exercise ... Medicare fraud, waste, or abuse, (FWA) including coordinating internal investigations and developing appropriate corrective or disciplinary actions when necessary.… more
- UPMC (Pittsburgh, PA)
- …Auditor/Analyst Intermediate! The Clinical Auditor/Analyst Intermediate is an integral part of the Special Investigations Unit (SIU) and is responsible for ... and health plan business rules. + Provide a clinical opinion for special projects or various issues including appropriate utilization of controlled substances,… more
- Travelers Insurance Company (Falmouth, MA)
- …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. as… more
Related Job Searches:
Director Special Investigations Unit,
Investigations,
Investigator Special Investigations Unit,
Manager Special Investigations Unit,
Special,
Special Investigations Unit Field,
Special Investigations Unit SIU,
Supervisor Special Investigations Unit,
Unit