- CVS Health (Concord, NH)
- …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… more
- Humana (Concord, NH)
- …enforcement authorities to coordinate investigations and supervises the activities of the Special Investigations Unit (SIU) to ensure accurate and timely ... caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or… more
- Bristol Myers Squibb (Devens, MA)
- …training is completed on time + Assists with the coordination and implementation of special projects such as validation or complex investigations + May provide ... improvements initiatives and direct changes to project leads for initiation + Investigation identifiers - initiate investigation following alignment with QA… more
- Elevance Health (Manchester, NH)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… 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 ... 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
- Travelers Insurance Company (Bedford, NH)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- RTX Corporation (Woburn, MA)
- …MA. The successful candidate will interface with the Information Systems Security Manager (ISSM) to ensure adherence with NIST Special Publications, customer ... hardware troubleshooting or electronics) + Physical security/security, policework/criminal justice, investigations , or Border Patrol + Project or program management,… more
- CDM Smith (Manchester, NH)
- **38747BR** **Requisition ID:** 38747BR **Business Unit :** TSU **Job Description:** At CDM Smith, we are committed to tackling the complex challenges facing our ... white papers and technical design documentation of new or special case designs, studies, etc.. Collaborates with sales staff...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Chelmsford, MA)
- **39601BR** **Requisition ID:** 39601BR **Business Unit :** TSU **Job Description:** Under limited supervision, creates excavation, dewatering, shallow/deep ... white papers and technical design documentation of new or special case designs, studies, etc.. *Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more