- 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
- Thorntons LLC (Galloway, 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
- 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