- Molina Healthcare (Omaha, NE)
- **Job Summary** Acts as liaison between Special Investigations Unit (SIU) operations and health plans and internal functional teams to assure a smooth ... appropriate approvals and escalations are achieved. Coordinates with Associate Vice President, Special Investigations Unit , Regulatory Operations (AVP- SIU)… more
- CVS Health (Lincoln, NE)
- …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 (Kearney, NE)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, ... investigation , reporting , and when appropriate, recovery of...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- Nebraska Public Power District (Brownville, NE)
- …harassment/discrimination, pay administration, and disciplinary issues. Assist in workforce investigations . Recommend solutions to Business Unit Managers ... harassment/discrimination, pay administration, and disciplinary issues. Assist in workforce investigations . Recommend solutions to Business Unit Managers… more
- Air National Guard Units (Lincoln, NE)
- …other organization managers and customers as appropriate. Manages a myriad of Unit Commander's programs to include; Drug Demand Reduction Program, Urinalysis, Voting ... Government Purchase Card Program, Government Travel Card Program, Air Force Fitness Program, Unit Security Program, Unit Self-Inspection Program, Unit File… more
- Molina Healthcare (Bellevue, NE)
- **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
- Travelers Insurance Company (Omaha, NE)
- …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
- Travelers Insurance Company (Omaha, NE)
- …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
- Army National Guard Units (Hastings, NE)
- …weight and cube. Uses appropriate technical manuals, determines the proper name and unit number. Ensures the appropriate 1348's are filled out and sent to ... needs. Maintains a list of suspended ammunition and prepares listing for reporting excess to proper authorities for disposition. Assures suspended ammunition is… more
- Catholic Health Initiatives (Schuyler, NE)
- …assurance, safety, blood-borne pathogen/infection control, specimen handling/processing and documenting/ reporting patient results. While controls may affect certain ... MIC and/or sensitivity set-up; automated blood cultures, gram stain and special stain interpretations, rapid test kit testing and interpretation, PCR… more