- Molina Healthcare (Columbus, OH)
- **Job Summary** Acts as liaison between Special Investigations Unit ( SIU ) operations and health plans and internal functional teams to assure a smooth ... escalations are achieved. Coordinates with Associate Vice President, Special Investigations Unit , Regulatory Operations (AVP- SIU ) within to oversee the … more
- JPMorgan Chase (Jersey City, NJ)
- …security solutions, ensuring a safer and more secure future for all. As a Special Investigations Unit Investigator within the Global Security team, you ... will be responsible for conducting complex and sensitive investigations involving Code of Conduct violations in both North America and Latin America and coordinate… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Special Investigations Unit Investigator Requisition # 24867 Exemption ... Exempt Management Level n/a Direct Reports n/a Manager Title Special Investigations Unit Manager Department...and recommend policy and procedure revisions that support the FWA/ SIU program. + Attend internal and external FWA and… more
- The Robison Group (Columbus, OH)
- …searches, and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... 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
- CareOregon (Portland, OR)
- …be able to work 9-3 PM PST. Flexible if in Central Time). Job Summary The Special Investigations Unit ( SIU ) Investigator position is responsible for ... Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Special Investigations Unit Investigator Department...and recommend policy and procedure revisions that support the FWA/ SIU program. + Attend internal and external FWA and… more
- Capital One (New York, NY)
- Anti-Money Laundering (AML) Senior Supervisor, Special Investigations Unit ( SIU ) **The Anti-Money Laundering (AML) Senior Investigator III within the ... Special Investigations Unit ( SIU ) supervises various AML processes, which might include suspicious activity investigations and other AML processes.… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. **Position Summary** The SIU Investigator conducts investigations to effectively pursue the prevention, ... 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 (Hartford, CT)
- …It's a new day in healthcare! + Looking for opportunities to use cutting edge technologies analyzing petabytes of data on Google Cloud Platform? + Interested in ... generating analytical insights that inform provider networks and engagement strategies that support members on their individualized health and wellness journey? CVS's Analytics & Behavior Change team delivers strategically impactful programs and tools that… more
- CVS Health (Columbus, OH)
- …innovate and deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our ... team of Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard the organization's resources and reduce healthcare costs. This role… more
- Allied Universal (Houston, TX)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to… more
- AmeriHealth Caritas (Columbia, SC)
- …of active car insurance required for investigative travel. + Experience in law enforcement, Special Investigations Unit ( SIU ), or regulatory compliance. ... internal teams to uphold organizational integrity. **Responsibilities** + Lead investigations into potential fraud, waste, and abuse, ensuring accuracy, efficiency,… more
- Liberty Bank (Middletown, CT)
- …expertise, to provide the highest level of service and support to the Fraud & Special Investigations Unit functions. Including but not limited to: + ... Fraud Intelligence Unit Internship Middletown, CT 06457, USA Req #1720...relationships with multi-functional internal/external business partners. The Fraud Intelligence Unit / Corp. Security intern reports directly to the Loss… more
- TEKsystems (Austin, TX)
- Description Investigator, Special Investigations Unit ( SIU -FIU) The position of Investigator within the SIU -FIU will be an individual contributor ... role responsible for conducting timely and complex proactive and reactive investigations . This will include the drafting of SARs as appropriate and the creation and… 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 ... projects as assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education** Level: Bachelor's Degree… 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 ... special projects as assigned by management to meet the needs of the Special Investigations Unit . **SUPERVISORY RESPONSIBILITY:** Position does not have… more
- Travelers Insurance Company (Hartford, CT)
- …Claim organization. By facilitating key forums and ensuring seamless communication between our Special Investigations Unit and Claim Product functions, you ... of strategic vision, cross-functional leadership, and data-driven decision-making, ensuring SIU 's investigative priorities translate into impactful, scalable solutions across… more
- Corewell Health (Grand Rapids, MI)
- …SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name PH - Special Investigations Unit Employment Type Full time Shift Day (United States ... of America) Weekly Scheduled Hours 40 Hours of Work 8:00 am to 5:00 pm Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for… 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,… more
- City of New York (New York, NY)
- …knowledgeable experts. The DOC seeks to recruit a City Research Scientist Level I for the Special Investigations Unit ( SIU ) - PREA Team. The Prison Rape ... Under the direction of a Deputy Director for the SIU PREA Team and with latitude to exercise independent...will be responsible to work closely with the PREA Investigations Supervisors and Investigators to assist in the accurate… more
- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions… more
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