- 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 (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
- Ross Stores, Inc. (Albuquerque, NM)
- …to proactively combat external loss\. + Leverage exception and store reporting systems to identify theft activity \(including cash shortage\) in assigned ... + Drive resolution and case closure on all internal and external investigations , including timely follow up on internal leads from the corporate Investigative… more
- 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
- IDEX (Albuquerque, NM)
- If you're looking for a special place to build or grow your career, you've found it. Whether you're an experienced professional, a recent college graduate or ... (https://www.idexcorp.com/our-businesses/business-segments/) around the globe, chances are, we have something special for you. The Quality Manager develops, implements and… more