- CVS Health (Columbus, OH)
- …all with heart, each and every day. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of known or suspected ... in identifying resources and best course of action on investigations + Serves as back up to the manager...years working on health care fraud, waste, and abuse investigations and audits; **Anticipated Weekly Hours** 40 **Time Type**… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to ... the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will… more
- CareFirst (Baltimore, MD)
- …+ Perform special projects to meet the objectives of the Special Investigations Unit . **QUALIFICATIONS:** **Education Level:** Bachelor's Degree OR ... to the SI team to support both prepayment reviews and/or post-payment investigations . **ESSENTIAL FUNCTIONS:** + Review of medical records and claims. Investigate… more
- Providence (OR)
- **Description** ** Investigator External Audit Special Investigations Unit \*Remote The SIU Audit Investigator supports the compliance related ... activities of the Special Investigations Unit ( SIU ) at the...the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related… more