- CVS Health (Trenton, NJ)
- …We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In this role, you will manage ... complex investigations into suspected and known acts of healthcare fraud,...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud. + Demonstrates high… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday through ... position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud, waste… more
- The Robison Group (Brooklyn, NY)
- …is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team ... utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and...+ Make sound judgments during the course of the investigation . + Provide timely progress updates. + Complete detailed… more
- CVS Health (Columbus, OH)
- …Kentucky Resident is preferred The SIU Investigator conducts complex investigations to effectively pursue the prevention, investigation and prosecution of ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.… more
- CVS Health (Baton Rouge, LA)
- …is a remote position but Louisiana residency is required. + Conducts investigations to effectively pursue the prevention, detection, investigation and ... in identifying resources and best course of action on investigations + Serves as back up to the Team...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.… more
- The Hartford (GA)
- …the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This position will be based out of the ... + Bachelor's Degree preferred. + Minimum of 3 years special investigation insurance experience and/or investigative law...will require 100% travel within the assigned territory. The Special Investigator for this opportunity will be… more
- Allied Universal (Richmond, VA)
- …assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Kemper (Los Angeles, CA)
- …referred to and accepted for investigation by the Special Investigative Unit . Our Special Investigator will function as a remote investigator ... Investigator will conduct field as well as desk investigations of insurance claims...agencies as required by law and management. Keeps the Special Investigation Unit and field… more
- Kemper (Miami, FL)
- …referred to and accepted for investigation by the Special Investigative Unit . Our Special Investigator will function as a remote investigator ... that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field and desk investigations ...agencies as required by law and management. Keeps the Special Investigation Unit and field… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator , Sr. is to assist in the reduction and recuperation ... timely, effective and result in an overall achievement of unit goals. + Investigator , Sr. will develop...assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education**… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, ... audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations… more
- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, ... audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category ... Code 12226 Duties Description The NYS DOCCS Office of Special Investigations (OSI) is seeking qualified candidates...upon the needs of the Department and OSI. An Investigator is responsible for conducting investigations pertaining… more
- Capital One (Chicago, IL)
- AML Sr. Investigator , Complex Investigations Unit - Law Enforcement Anti-Money Laundering (AML) Sr Investigator I Level: Associate Job Description: The ... Anti-Money Laundering (AML) Sr. Investigator I supports various AML processes, which might include suspicious activity investigations , currency transaction… more
- New York State Civil Service (Groveland, NY)
- …Buffalo or Groveland State NY Zip Code 14202 Duties Description The Office of Special Investigations (OSI) is seeking qualified candidates to be considered for ... credentials or a background check to verify your identity. Name Office of Special Investigations (Attn: Recruitment and Hiring) Telephone Fax Email Address… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- INVESTIGATOR / SPECIAL AGENT (1-3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4733817) Apply INVESTIGATOR / SPECIAL AGENT (1-3) ... Justice, Office of Attorney General, Liz Murrill, is seeking applications for an Investigator / Special Agent. As part of a Career Progression Group, vacancies may… more
- New York State Civil Service (Albany, NY)
- …direction of the Director of Consumer Protection and the immediate supervision of the Investigations Unit Director, the Investigator will be responsible for: ... NY HELP Yes Agency State, Department of Title Investigator 1 (NY HELPS) - Vacancy ID# 179274...people of New York State from economic harm. The Investigations Unit within the Division works to… more
- State of Colorado (Lakewood, CO)
- …action is warranted. This position provides guidance to compliance investigators in investigations and on Reports of Investigation and other disciplinary actions ... + Serves as the unit manager for the Sports Betting Compliance Unit . Directly supervises Compliance Investigator II staff; schedules work, makes task and… more
- State of Colorado (Lakewood, CO)
- …free from criminal and corrupt elements. What we do: The Gaming Background Investigation unit provides conducts investigations performed by financial ... and private companies. A typical day as a Criminal Investigator V: Supervise and assist in conducting investigations...that perform as the agency's expert on criminal financial investigations and investigation of publicly traded companies,… more
- Commonwealth of Pennsylvania (PA)
- …successfully completed college-level coursework or other training related to investigation procedures, criminal investigations , interviewing and interrogations, ... Professional Conduct Investigator Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4790767) Apply Professional Conduct … more