• AML Sr. Investigator I - Special

    Capital One (Richmond, VA)
    …3 (12073), United States of America, Richmond, Virginia AML Sr. Investigator I - Special Investigations Unit **Anti-Money Laundering Sr. Investigator I - ... Complex Investigations Unit , Special Investigations Unit ** **Anti-Money Laundering (AML) Sr Investigator I** **Level: Associate** The Anti-Money… more
    Capital One (10/30/24)
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  • Area Program Manager - Special

    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 ... **Department of Children & Families* **Title:** *Area Program Manager - Special Investigations Unit * **Location:** *Massachusetts-Boston-600 Washington… more
    State of Massachusetts (09/14/24)
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  • Special Investigations Unit

    ICW Group (Sacramento, CA)
    …to contribute, develop, and belong. **PURPOSE OF THE JOB** The purpose of the Special Investigations Unit (SIU) Coordinator is to provide project and ... is up-to-date and securely stored.** + Serves as the guardian of the Consolidation/ Special Adjudication Unit (SAU) work with outside counsel. + Provides… more
    ICW Group (11/01/24)
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  • Anti-Money Laundering Subject Matter Expert (SME)…

    Capital One (Mclean, VA)
    …United States of America, McLean, Virginia Anti-Money Laundering Subject Matter Expert (SME) - Special Investigations Unit (SIU) The Special ... Investigations Unit in the AML Department performs specialized investigations to assess risks presented in particular circumstances. A Subject Matter Expert… more
    Capital One (11/23/24)
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  • Special Investigations Unit

    UPMC (Pittsburgh, PA)
    UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday through ... is a remote position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud,… more
    UPMC (11/22/24)
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  • Part Time Private Investigator - Special

    The Robison Group (Olympia, WA)
    …other investigative tasks. 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
    The Robison Group (11/27/24)
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  • Special Investigations Unit

    Capital One (Mclean, VA)
    Center 2 (19050), United States of America, McLean, Virginia Special Investigations Unit (SIU) Anti-Money Laundering Supervisor The Anti-Money Laundering ... supervises various AML processes, which might include suspicious activity investigations , currency transaction reporting, global sanctions screening, enhanced due… more
    Capital One (11/19/24)
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  • Investigator, Special Investigations

    CVS Health (Columbus, OH)
    …Summary** Kentucky Resident is preferred The SIU Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...experience working on health care fraud, waste, and abuse investigations and audits required or equivalent investigations more
    CVS Health (11/23/24)
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  • Senior Investigator, Special

    CVS Health (Columbus, OH)
    …personal, convenient and affordable. **Position Summary** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims...presentations to internal and external customers regarding ongoing case investigations . **Required Qualifications** + 3-5 years investigative experience in… more
    CVS Health (11/22/24)
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  • Senior Fraud and Waste Investigator,…

    Humana (Indianapolis, IN)
    …Program Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase ... to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues + Work with the Contract Compliance… more
    Humana (11/22/24)
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  • Senior Investigator, Special

    CVS Health (Columbus, OH)
    …Summary:** As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... in identifying resources and best course of action on investigations - Serves as back up to the Team...years of working health care fraud, waste and abuse investigations . **Pay Range** The typical pay range for this… more
    CVS Health (11/10/24)
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  • Certified Professional Coder, Special

    CVS Health (Columbus, OH)
    …The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.… more
    CVS Health (11/20/24)
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  • SIU Investigator - Part-Time

    Allied Universal (Bloomington, MN)
    …plans, employee assistance programs, and exclusive perks. 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):** + Must… more
    Allied Universal (11/28/24)
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  • Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator, Sr. is to assist in the reduction and recuperation of ... as assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education** Level: Bachelor's Degree **Experience:** 5… more
    CareFirst (11/27/24)
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  • Manager, SIU - Dallas, Houston or

    USAA (San Antonio, TX)
    …part of what makes us so special ! **The Opportunity** As a dedicated **Manager, Special Investigations Unit for Property & Casualty** , you will be ... actions and decisions to carry out proactive claim's projects and investigations . + Reviews and evaluates investigation recommendations from investigators to ensure… more
    USAA (11/22/24)
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  • Senior Manager, Compliance

    Point32Health (Canton, MA)
    …effectiveness of corrective action plans. + **Fraud Prevention:** Work with the Fraud Special Investigations Unit to ensure compliance with CMS requirements. ... issues and requirements. + **Administrative Management:** Oversee the compliance unit 's administrative tasks, including document organization, report preparation, and… more
    Point32Health (10/29/24)
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  • Police Officer Trainee

    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
    City of La Mesa, CA (10/12/24)
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  • Medicare Compliance Officer

    Centene Corporation (Austin, TX)
    …potential FWA, including the coordination of internal investigations with the Special Investigations Unit and the development of appropriate corrective ... development and implementation of Corrective Action Plans + Coordinating potential fraud investigations and referrals from and with the SIU, where applicable, and… more
    Centene Corporation (09/20/24)
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  • Risk Management 1

    M. C. Dean (Vienna, VA)
    …coverage; review the established reserve requirements, identified claims for subrogation and/or Special Investigations Unit as appropriate. + Assesses actual ... regulatory issues and available resources. + Plans and conducts investigations of claims to confirm coverage and to determine...Knowledge and abilities of Microsoft suite of applications with special emphasis on excel and the ability to pivot… more
    M. C. Dean (09/18/24)
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  • SIU Analyst Intern - Summer

    NJM Insurance (Trenton, NJ)
    NJM is considering 2025 summer interns for our Special Investigations Unit , (SIU). Interns for the summer season will assist the SIU in anti-fraud efforts by ... internal and external data sources to support SIU's policy and claim investigations . The SIU Intern will gain work experience while performing meaningful tasks… more
    NJM Insurance (11/12/24)
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