- Molina Healthcare (Meridian, ID)
- **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 (Boise, ID)
- …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 (Meridian, ID)
- **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
- Molina Healthcare (Meridian, ID)
- **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
- Kiewit (Boise, ID)
- …to include, but not limited to, issues management, nonconformance reporting , subcontractor oversight, internal assessments/audits, causal analysis, commercial grade ... consistent implementation across the company. Coordinate and perform causal analysis investigations on project-related issues. Coordinate and perform QA audits and… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …and participates in evaluation of outcomes. Promotes and participates in unit performance improvement initiatives, identifies problems, collects data, and supports ... acuity, and assignment. Utilizes observation skills for data collection, reporting and documentation. Accurately observes, measures, and documents vital signs… more