- NTT DATA North America (Boston, MA)
- …strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( " SIU ) REMOTE EAST COAST The Investigator ... and work closely with other members of the SIU . Reviews are fast-paced and require the investigator...Qualifications: 1-3 year's related experience in health insurance fraud investigations , health insurance coding , provider relations, or… more
- CVS Health (Nashville, TN)
- …all with heart, each and every day. **Position Summary** **Position Summary** TThe SIU Investigator conducts investigations to effectively pursue the ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …OMIG's minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or experience, which shall ... criminal justice or related field; or employment as an investigator in the SIU on or before...and supporting systems. (BREADTH). + Expertise in complex clinical coding /reviewing assignments, difficult investigations and highly visible… more
- MVP Health Care (Rochester, NY)
- …York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + Maintain ... improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for...if you have a passion for problem solving and investigations , commitment to compliance and ethical standards and dedication… more