- CVS Health (Columbus, OH)
- …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 (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 ... responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention efforts to safeguard the organization's resources and… more
- Molina Healthcare (Columbus, OH)
- **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 (Columbus, OH)
- …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 (Columbus, OH)
- **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
- Army National Guard Units (Columbus, OH)
- …guidance to aviation units on matters pertaining to aviation training, readiness reporting , the Aircrew Training Manual and National Guard Bureau (NGB) training ... pertaining to aviation safety. May be assigned to aircraft accident investigation teams, maintenance management review and foreign object damage. (6) Represents… more
- Humana (Columbus, OH)
- …related communication/interaction with outside regulators, as necessary. + Coordinate with the Special Investigations Unit (SIU) to operate and effective ... and/or advanced degree + Audit experience + Experience with metrics and reporting + Experience working with regulatory agencies, including state departments of… more
- Thorntons LLC (Columbus, OH)
- …proper procedure is followed relating to safety, accidents, and incidents including reporting , investigations , and documentation *Create a place of welcoming and ... personnel recruitment, selection, and training Experience *Minimum three (3) years single- unit management in retail and/or food and beverage industries *Experience… more
- Army National Guard Units (Columbus, OH)
- …(AT/FP), the Critical Infrastructure Protection Program (CIPP), National Security Special Events (NSSE), and Continuation of Governmental Operations and Public ... OPORDs, FRAGORDs, Status of Forces and Resources and situational awareness reporting ; and operational sustainment support for activated operational centers, quick… more
- Defense Finance and Accounting Service (Whitehall, OH)
- …such as duplicating documents, processing/delivering mail, basic record keeping, reporting and informational duties, including compiling, maintaining, updating data, ... support and assistance on personnel, supply, training, and budget reporting and processes; utilizing office automation to create, retrieve,...be paid. This position is covered by a bargaining unit . This position is Non-Exempt from the Fair Labor… more