- Commonwealth Care Alliance (Boston, MA)
- …part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit ( SIU ). The position reports directly to the Sr . Director, Fraud, Waste & Abuse. This ... Role is Important to Us:** **Position Summary:** The FWA Investigator Coder Sr . Associate is an integral...industry requirements to the different benefits and products within investigations . + Proactively seek out and develop leads, resources,… more
- Providence (OR)
- …will:** + Support timely completion of compliance related audits and investigations of the Special Investigations Unit ( SIU ) at the Health Plan + ... must empower them._** **Providence Health Plan is calling an Investigator , Special Investigation Unit who...with multiple cases and audits simultaneously + May assist Senior Investigator or SIU Director… more
- Centene Corporation (Tallahassee, FL)
- …of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and measure ... obtain refund + Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and...and data mining preferred. **Please note:** this position is remote , but the candidate must be located within the… more