- Corewell Health (Grand Rapids, MI)
- Job Summary Responsible for planning, direction, and operation of the Special Investigations Unit ( SIU ). Responsible for developing and directing the ... + Responsible for the development, management, implementation and oversight of the Special Investigations Unit . Responsible for the overall direction,… more
- The Robison Group (Miami, FL)
- …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
- 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, ... assets and reduce healthcare costs. This requires demonstrating vision in positioning the SIU with the right skill sets, cutting edge analytics tools, and robust… more
- New York State Civil Service (White Plains, 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 Division of Confidential Investigations Intern Occupational Category Enforcement or Protective Services Salary Grade… more
- CVS Health (Hartford, CT)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Special Investigations Unit ( SIU ) is looking for an ... analytically driven individual who is skilled at identifying outliers through data extraction and analysis. The lead reviewer is accountable for the validation of existing Fraud, Waste and Abuse business rules/leads designed to detect aberrant billing patterns… 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 (Fredericksburg, VA)
- …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
- CVS Health (Hartford, CT)
- …are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ). In this role, you will manage ... fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse.… 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
- New York State Civil Service (Buffalo, NY)
- …Duties Description The New York State Police (NYSP) Special Investigations Unit - Financial Crimes Unit ( SIU -FCU) is seeking forensic auditors.The ... allowed? No Telecommuting allowed? No County Erie Street Address Special Investigations Unit - Financial...or in-house cases based on suspicious activity. Assist the SIU -FCU with Cryptocurrency investigations . Minimum Qualifications A… more
- CVS Health (Montgomery, AL)
- …The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit ( SIU ) to ensure compliance with ... review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Act as management back-up and supports the team when the… 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
- 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
- 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
- RELX INC (Dayton, OH)
- …as a subject matter expert on LexisNexis and Accurint TraX (ZetX) solutions within the Special Investigations Unit ( SIU ). The Public Safety SIU ... the link below. https://risk.lexisnexis.com/government About our Team The LexisNexis(R) Public Safety Special Investigations Unit is comprised of former… more
- State of Massachusetts (Boston, MA)
- …in litigation and as receiver. In addition, the Deputy General Counsel oversees the Special Investigations Unit ( SIU ) which supports the Division's ... reflect applicable legal, financial and other factors. * Oversee the Division's Special Investigations Unit , including supervising the Supervising … more
- RELX INC (Concord, NH)
- …relationships with internal and external customers to raise brand awareness of the Special Investigations Unit . + Other duties as assigned. Qualifications ... Risk at the link below. https://risk.lexisnexis.com/government About our Team The Public Safety Special Investigative Unit ( SIU ) is comprised of former law… more
- VNS Health (Manhattan, NY)
- …compliance and privacy investigations and related regulatory reporting, including for the Special Investigations Unit ( SIU ). Prepares audit reports, ... Facilitates communication and interviews, and conducts documentation/report reviews, for compliance and SIU investigations to gather evidence related to FWA 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,… more
- The Hartford (Hartford, CT)
- …help shape the future. The Investigative Specialist is a position within The Hartford's Special Investigative Unit ( SIU ). We are seeking candidates that have ... SIU Investigative Specialist - CF08IE We're determined to...advancing their career within The Hartford. This position conducts investigations on suspicious (with red flags noted) Property &… more
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