- CVS Health (Des Moines, IA)
- …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
- Allied Universal (Des Moines, IA)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Molina Healthcare (Des Moines, IA)
- **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 (Des Moines, IA)
- **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
- Veterans Affairs, Veterans Health Administration (Des Moines, IA)
- …meet local and VA-wide time frames to complete analysis requirements, reports and special assignments and only refers to the non-routine and high technical problems ... to his/her supervisor. The incumbent is responsible for reporting backlogs, difficulties in meeting deadlines, uncooperative physicians, or difficulty in securing… more