• Special Investigation Unit

    CVS Health (Santa Fe, NM)
    …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 (01/05/25)
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  • Special Investigation Unit

    CVS Health (Santa Fe, NM)
    …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
    CVS Health (12/25/24)
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  • Director, SIU / Fraud Waste and Abuse - REMOTE

    Molina Healthcare (Santa Fe, NM)
    **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
    Molina Healthcare (01/21/25)
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  • Investigator, SIU RN

    Molina Healthcare (Santa Fe, NM)
    **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
    Molina Healthcare (01/04/25)
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  • Nuclear Quality Manager-Kiewit Nuclear Solutions-…

    Kiewit (Santa Fe, NM)
    …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
    Kiewit (01/15/25)
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