- CVS Health (Boise, ID)
- …to make health care more personal, convenient and affordable. **Position Summary** The Aetna Special Investigations Unit (SIU) Data Analytics team is looking ... that can analyze big data and create a story through data aggregation and reporting . The ideal candidate would have a solid understanding of medical claim data,… more
- CVS Health (Boise, ID)
- …innovate and deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our ... responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention efforts to safeguard the organization's resources and… more
- Molina Healthcare (Meridian, ID)
- **Knowledge/Skills/Abilities** Acts as liaison between Special Investigations Unit (SIU) operations and contracted vendor(s) to assure a smooth workflow ... Waste and Abuse (FWA) and Associate Vice President of Special Investigations Unit (SIU) to...Experience** * Minimum of 8-10 years relevant experience in special investigation units, Insurance Fraud and Abuse,… more
- Travelers Insurance Company (Meridian, ID)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- Molina Healthcare (Boise, ID)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, ... investigation , reporting , and when appropriate, recovery of...Services, Member Services, Claims) to gather documentation pertinent to investigations . * Detect potential health care fraud, waste, and… more
- Office of the Secretary of the Interior (Boise, ID)
- …potential contractor capability, contract modifications, policy and procedure development, and special use operations for both DOI fleet and contracted fixed wing ... to telework with supervisor approval. This position is included in a bargaining unit . The National Federation of Federal Employees, Local 2052, is the exclusive… more
- Kiewit (Boise, ID)
- …Idaho Falls, ID. This position is not remote or hybrid. It requires reporting to an active construction site in Idaho Falls, ID area, daily. **Responsibilities** ... to include, but not limited to, issues management, nonconformance reporting , subcontractor oversight, internal assessments/audits, causal analysis, commercial grade… more
- Bureau of Reclamation (Boise, ID)
- …You must be suitable for federal employment, determined by a background investigation . You must submit a resume and supporting documentation (see Required ... & AmeriCorps VISTA Volunteers Public Lands Corps (PLC) Hiring Authority Special Hiring Authorities Veterans Employment Opportunities Act (VEOA) Veterans Recruitment… more