- Molina Healthcare (Layton, UT)
- **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 (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims / Special Investigations Unit (SIU) Investigator. Claims / SIU Specialists ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Molina Healthcare (Layton, UT)
- **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 (Layton, UT)
- **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 (Salt Lake City, UT)
- …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
- University of Utah (Salt Lake City, UT)
- …CMCR , in partnership with the Senior Vice President of Health Science Research Unit ( SVPHSRU ) senior manager, the steering committee, external advisory board, and ... research opportunities with external partners and national cannabis research centers. + ** Reporting & Evaluation** : Complete annual evaluations and reporting … more
- Lockheed Martin (Hill Air Force Base, UT)
- …non\-compliance, suspicious and anomalous activity \(i\.e\., threats\), and effectively reporting such activity and associated risks to the appropriate parties\. ... Continuous Vetting program\. + Ability to obtain and maintain Special Access Program \(SAP\) access\. + Possess a valid...a US Citizen for consideration\. **Clearance Level:** Secret with Investigation or CV date within 5 years **Other Important… more
- Lockheed Martin (Hill Air Force Base, UT)
- …\(process\) audits\. \- Requires ability to conduct incident and/or mishap investigation audits, prepare quality documentation and reports by collecting, analyzing, ... Clearance prior to starting\. \- This position is located at a facility that requires special access\. \- The modification team will be based at Hill AFB, UT and… more