- Molina Healthcare (Columbus, OH)
- **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 (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)
- **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
- 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