• Special Investigation Unit

    CVS Health (Des Moines, IA)
    …deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of ... Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention… more
    CVS Health (12/25/24)
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  • Manager , Fraud and Waste * Special

    Humana (Des Moines, IA)
    …enforcement authorities to coordinate investigations and supervises the activities of the Special Investigations Unit (SIU) to ensure accurate and timely ... caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or… more
    Humana (12/19/24)
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  • Regional Safety Manager - Energy

    Cupertino Electric (Urbandale, IA)
    **Posting Title:** Regional Safety Manager **Reports To:** Division Safety Manager **Location:** Midwest Region - Central Time Zone **Salary Range:** $130,000 - ... business that is environmentally responsible. **ABOUT THE ROLE** The Project Safety Manager at Cupertino Electric will manage the company's environmental, health and… more
    Cupertino Electric (11/22/24)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Des Moines, IA)
    …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
    Elevance Health (12/31/24)
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  • Clinical Provider Auditor Senior

    Elevance Health (West Des Moines, IA)
    …coding and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of ... and risk avoidance based on the outcome of the investigation . + Trains new associates. + Develops, designs and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (12/18/24)
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