- The Robison Group (Tacoma, WA)
- …searches, and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… more
- Capital One (Richmond, VA)
- West Creek 3 (12073), United States of America, Richmond, Virginia Special Investigations Unit ( SIU ) Anti-Money Laundering Supervisor **Job Title:** ... supervises various AML processes, which might include suspicious activity investigations , currency transaction reporting, global sanctions screening, enhanced due… more
- CVS Health (Columbus, OH)
- …convenient and affordable. **Position Summary** Kentucky Resident is preferred The SIU Investigator conducts investigations to effectively pursue the prevention, ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...experience working on health care fraud, waste, and abuse investigations and audits required or equivalent investigations … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …15 miles north of Seattle, Washington.** **What you'll do:** + Lead Premera's Special Investigations Unit in driving the development, implementation, and ... serve through our Healthsource blog: https://healthsource.premera.com . As a **Senior Manager of the Special Investigation Unit ( SIU )** , you will lead a… more
- Providence (OR)
- …will:** + Support timely completion of compliance related audits and investigations of the Special Investigations Unit ( SIU ) at the Health Plan + ... multiple cases and audits simultaneously + May assist Senior Investigator or SIU Director in developing, implementing and performing compliance related auditing and… more
- Allied Universal (New Orleans, LA)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr. Fraud Investigator SIU ( Special Investigations Unit ) assists in the implementation and daily operation of the organization's ... the strictest form of confidentiality is applied to all audits and investigations conducted **Job Title: Sr. Fraud Investigator ( SIU )** **Location: Pearland… more
- Molina Healthcare (Louisville, KY)
- …laws and regulations, contract provisions, and internal policies and procedures + Supports the Special Investigations Unit ( SIU ) Manager, Director, and ... the Manager, the Reporting Analyst, SIU supports a team in the Special Investigation Unit ( SIU ). The Reporting Analyst, SIU will ensures FWA… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... + Serves as a technical resource / coding subject matter expert for SIU related issues. Conducts complex business and operational analyses to assure payments are… more
- TEKsystems (Baltimore, MD)
- Description: The role of the Special Investigations Unit SIU Investigator is to assist in the reduction and recuperation of losses through the detection ... projects as assigned by management to meet the needs of the Special Investigations Unit . Qualifications Education Level: Bachelor's Degree Experience: 2… more
- Customs and Border Protection (Washington, DC)
- …(GS-14, Step 10). There are 7 vacancies in the 5 program areas below: Special Investigations Unit : Planning, coordinating, and completing highly complex ... Office. Serving as a senior case agent for inter-agency investigations , and leading teams of other Special ...inter-agency investigations , and leading teams of other Special Agents and law enforcement officers in investigations… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions… more
- Office of Inspector General (Washington, DC)
- Summary This position is located in the Special Investigations unit of the Principal Assistant Inspector General for Investigations , Office of Inspector ... General, which is responsible for conducting investigations of alleged fraud, waste, and abuse within the...will be responsible for planning, directing and conducting complex investigations of suspected fraud, waste, and abuse, and mismanagement… more
- New York State Civil Service (White Plains, NY)
- …The Division of Confidential Investigations (DCI) is among the most active special investigations unit in the country, working with local, state, ... (NY HELPS) Occupational Category Other Professional Careers Salary Grade NS Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more
- USAA (Charlotte, NC)
- …Strategy Teams, Financial Security Investigations and Fraud Recovery Teams, and/or Special Investigations Unit team and performs ad-hoc report analysis ... Come be a part of what makes us so special ! As a dedicated Lead, Fraud Prevention Policy you...identify fraud trends. + Knowledge and understanding of fraud investigations as well as application of case law and… more
- M. C. Dean (Vienna, VA)
- …coverage; review the established reserve requirements, identified claims for subrogation and/or Special Investigations Unit as appropriate. + Assesses actual ... regulatory issues and available resources. + Plans and conducts investigations of claims to confirm coverage and to determine...Knowledge and abilities of Microsoft suite of applications with special emphasis on excel and the ability to pivot… more
- Magellan Health Services (Honolulu, HI)
- …the local compliance committee meetings. + Coordinates activities with the Internal Audit and Special Investigations Unit ( SIU ) on compliance matters ... reports to the Quality Improvement Committee (QIC), Compliance Committee, Business Unit Manager, and the corporate Compliance Department as appropriate. + Maintains… more
- California Dental Association (Sacramento, CA)
- …maintenance of Ethics Handbook and Hearing Manual. + Assist with activities of the Special Investigations Unit (anti-fraud) for TDIC, including new hire ... orientation, ISO monitoring and reports, SIU referral follow-up activities. + Assist with corporate governance/regulatory...or military status. If you have a disability or special need that requires accommodation, please contact us at… more
- Centene Corporation (Austin, TX)
- …workplace flexibility. POSITION IS REMOTE **Position Purpose:** Provides investigative support to the Special Investigations Unit ( SIU ) related to coding ... of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and… more