- CVS Health (Annapolis, MD)
- …Kentucky Resident is preferred The SIU Investigator conducts complex investigations to effectively pursue the prevention, investigation and prosecution of ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.… 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 of ... as assigned by management to meet the needs of the Special Investigations Unit. **QUALIFICATIONS:** **Education** Level: Bachelor's Degree **Experience:**… more
- Elevance Health (Hanover, MD)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Nurse/CPC - Clinical Fraud Investigator Senior - SIU Fraud &...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
- Johns Hopkins University (Baltimore, MD)
- …not members of the JHU community as well. + Conduct assessments and investigations of complaints of sexual misconduct (including sexual violence), other forms of ... + Develop and prepare comprehensive reports based on facts revealed in investigations . Reports include, but are not limited to, analysis of applicable laws… more