- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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