- City of New York (New York, NY)
- …New York City Department of Correction seeks to recruit a Director to oversee the Special Investigations Unit 's ( SIU ) Intelligence Team. Under the direct ... management level position will be responsible for conducting all investigations into allegations of misconduct and special ...role and responsibilities of the Assistant Commissioner of the Special Investigation Unit in his/her absence -… more
- State of Massachusetts (Boston, MA)
- …highly organized, mission-driven individual to fill the role of Area Program Manager (APM) for the Special Investigations Unit ( SIU ). The Special ... The Area Program Manager is a member of the SIU senior management team, is involved with all aspects...of Children & Families* **Title:** *Area Program Manager - Special Investigations Unit * **Location:** *Massachusetts-Boston-600… more
- 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...- Self-manage a queue of alerts, cases, and closing investigations -Helps maintain operations of a SIU … more
- ICW Group (Sacramento, CA)
- …opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The purpose of the Special Investigations Unit ( SIU ) Coordinator is to provide ... project and administrative support to the SIU team. This role works independently and proactively to...securely stored.** + Serves as the guardian of the Consolidation/ Special Adjudication Unit (SAU) work with outside… more
- USAA (San Antonio, TX)
- …of 10 consecutive business days each calendar year. As a dedicated with **Director, Special Investigations Unit ( SIU ),** you will be responsible ... and fraud investigation programs and management of the Life Special Investigation Unit ( SIU ) staff....Experience to include broad understanding of procedures related to SIU investigations . + Knowledge and experience in… more
- The Robison Group (Tampa, 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
- CVS Health (Wellesley, MA)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Special Investigations Unit is seeking a Sr. Manager to lead ... our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible...complex data to identify potential fraud schemes, and directs investigations to resolve issues effectively. This is a hybrid… 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
- Allied Universal (Minneapolis, MN)
- …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
- CareFirst (Columbia, 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
- USAA (Houston, TX)
- …+ Leads high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals, (examples: organized ... Come be a part of what makes us so special ! **The Opportunity** As a dedicated SIU ...members from potential fraudulent claims by investigating complex fraud investigations with significant financial impact to USAA. This may… more
- Elevance Health (Woburn, MA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …center, the Careline operation is responsible for cps background check unit , Special Investigations Unit ( SIU ), Education Professional Investigation ... for an assigned region through a process of administrative case supervision or Special Review Investigation. In the Department of Social Services this class is… more
- Elevance Health (Manchester, NH)
- …and billing issues, trends, and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual ... concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. **Minimum Requirments:** + Requires an AA/AS and minimum of 1 year related medical coding/auditing experience; or any combination of… 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
- 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
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …system regarding the health needs of DCF children; + Provides consultation to Careline Special Investigations Unit on medical investigations of abuse ... implementing policies, carrying out program planning, and evaluating and coordinating special projects, etc. in the area specified in the appropriate parenthetical… more
- Magellan Health Services (Honolulu, HI)
- …the local compliance committee meetings. + Coordinates activities with the Internal Audit and Special Investigations Unit ( SIU ) on compliance matters ... reports to the Quality Improvement Committee (QIC), Compliance Committee, Business Unit Manager, and the corporate Compliance Department as appropriate. + Maintains… 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
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