- Magellan Health Services (Boise, ID)
- …of Microsoft Excel, Access, Outlook, Word, and Power Point. General Job Information Title SIU Program Integrity Investigator - Remote (In Idaho) Grade 24 ... for comprehensive management and ownership of fraud, waste and abuse investigations including development and presentation of investigative results. This individual… more
- UPMC (Pittsburgh, PA)
- … highly preferred. Under the direction of the manager, the Special Investigations Unit ( SIU ) Investigator is responsible for investigating ... UPMC Health Plan has an exciting opportunity for a SIU Investigator ! This is a remote...healthcare oversight referrals. - Plan, organize and execute dental investigations or dental audits utilizing document review, witness interviews,… more
- The Hartford (VA)
- …the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will be based out of ... career span. WHAT ELSE CAN YOU TELL ME?* The SIU Investigator is a remote ...will require 100% travel within the assigned territory. The Special Investigator for this opportunity will be… more
- Kemper (Doral, FL)
- …investigation by the Special Investigative Unit . Our Special Investigator will function as a remote investigator working from her/his residence ... Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department...agencies as required by law and management. Keeps the Special Investigation Unit and field managers advised… more
- The Robison Group (Brooklyn, NY)
- …reading and speaking Spanish. 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
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The AVP Special Investigations Unit ( SIU ) is responsible for overseeing and managing fraud, waste, and abuse (FWA) detection, ... assets and reduce healthcare costs. This requires demonstrating vision in positioning the SIU with the right skill sets, cutting edge analytics tools, and robust… more
- USAA (Nashville, TN)
- …makes us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and ... and regulations and policies and procedures. **This role is remote eligible. However, you must currently live in the...SIU experience conducting low to complex PNC fraud investigations OR a combination of Claims and Law Enforcement… more
- Centene Corporation (Frankfort, KY)
- …Position acts as a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud, Waste and Abuse of Medicaid services within Kentucky. Provides ... + Manage and coordinate cases being investigated by the SIU + Maintain all vendor cases + Assist with...Maintain all vendor cases + Assist with conducting complex investigations , including on-site investigations , review, complete and… more
- Humana (Oklahoma City, OK)
- **Become 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 join the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving providers who submit… more
- Centene Corporation (Harrisburg, PA)
- …outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit ( SIU ) related to coding ... benefits including a fresh perspective on workplace flexibility. POSITION IS REMOTE CANDIDATE MUST HAVE EXPERIENCE INVESTIGATING OR IDENTIFYING BEHAVIORAL HEALTH… more
- State of Georgia (Fulton County, GA)
- Compliance Investigator 2 (00056243) Georgia - Fulton - Atlanta... II, within the Office of Inspector General - Special Investigations Unit . This is ... job posting and apply: If interested, please apply to: https://www.governmentjobs.com/careers/dchga/jobs/5197267/compliance- investigator -2-00056243 Applicants who do not apply using the DCH… more
- AmeriHealth Caritas (Columbus, OH)
- … investigations . + Performs necessary functions to support all aspects of SIU investigations and responsibilities to include, but not limited to: Intake; ... Special Investigation Units and fraud, waste and abuse investigations . + Conducts investigations of potential fraud,...in lieu of formal educational requirements for the Lead SIU Investigator position may be considered. +… more
- The Robison Group (Omaha, NE)
- Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance ... We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment,...POSITION QUALIFICATIONS: + A current and valid Nebraska Private Investigator license is highly preferred. Ability to obtain an… more
- Command Investigations (TN)
- Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in ... as a leader in the investigation industry. At Command Investigations , we take pride in our proven track record...with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required, as… more
- RELX INC (Atlanta, GA)
- …Risk at the link below. https://risk.lexisnexis.com/government About our Team The Public Safety Special Investigative Unit ( SIU ) is comprised of former law ... data offerings to provide real-time investigative insights for LexisNexis customers. The SIU team aids law enforcement during critical incidents and major … more