- UPMC (Pittsburgh, PA)
- …formfieldid="descriptionInt" UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. ... position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud, waste… more
- Prime Therapeutics (Salem, OR)
- …Come build the future of pharmacy with us. **Job Posting Title** Special Investigations Unit (SIU) Investigator - Remote **Job Description** The ... Special Investigations Unit (SIU) Investigator is...and auditing/monitoring activities and proactively identifies improvement opportunities in investigation procedures and FWA prevention efforts ensure proper identification… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- The Robison Group (Brooklyn, NY)
- …is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team ... utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and...+ Make sound judgments during the course of the investigation . + Provide timely progress updates. + Complete detailed… more
- Allied Universal (Ashland, VA)
- …career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Kemper (Doral, FL)
- …referred to and accepted for investigation by the Special Investigative Unit . Our Special Investigator will function as a remote investigator ... Investigator will conduct field as well as desk investigations of insurance claims...agencies as required by law and management. Keeps the Special Investigation Unit and field… more
- CVS Health (Topeka, KS)
- …are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a specific self-funded ... plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud,...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud. + Demonstrate high… more
- Humana (Dayton, OH)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... Department of Medicaid (ODM) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase… more
- CVS Health (St. Paul, MN)
- …it all with heart, each and every day. **Position Summary** - Conducts investigations to effectively pursue the prevention, investigation and prosecution of ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
- Molina Healthcare (Covington, KY)
- …to the SIU Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight and guidance throughout the ... life of an investigation as well as QA reviews and approvals. In...effectively and timely. + Manage the flow of day-to-day investigations . + Perform assessment that QA measures were complete… more
- Command Investigations (Detroit, MI)
- …) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator . SuperiorX Investigations ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... or 5+ years of experience working in a FWA / SIU or Fraud investigations + Thorough knowledge of PC based software including Microsoft Word (edit/save documents) and… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category ... Be Determined Street Address NYS DOCCS - Office of Special Investigations Multiple Locations - see additional...upon the needs of the Department and OSI. An Investigator is responsible for conducting investigations pertaining… more
- State of Colorado (Denver, CO)
- Financial Fraud Investigator ( Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5155250) Apply Financial Fraud ... Investigator ( Special Agent III) Salary $98,328.00 -...the Office of the Attorney General! The Financial Fraud Unit within the Colorado Department of Law (DOL) is… more
- Louisiana Department of State Civil Service (LA)
- Investigator / Special Agent 1-4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5143725) Apply Investigator / Special Agent 1-4 ... Attorney General Liz Murrill, is seeking applications for an Investigator / Special Agent 1-4. As part of a...in various parishes throughout the state. Louisiana Bureau of Investigations : Provides follow-up investigation services for the… more
- MyFlorida (Tampa, FL)
- CHILD PROTECTIVE INVESTIGATOR NIGHT UNIT - 60004516 Date: Oct 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... 862961 Agency: Children and Families Working Title: CHILD PROTECTIVE INVESTIGATOR NIGHT UNIT - 60004516 Pay Plan:...a child. What you will do : + Conduct investigations of abuse, neglect, abandonment and/or special … more
- Bureau of Alcohol, Tobacco, Firearms, and Explosives (Washington, DC)
- …Open Continuous Announcement (OCA) that will be used to fill multiple Criminal Investigator ( Special Agent) vacancies at the Washington Field Office. Eligible ... is to be responsible for the prevention, detection, and investigation of substantive and conspiracy type violations of laws...of laws administered and enforced by ATF. As a Special Agent, your typical work assignments may include: Performs… more
- MyFlorida (Tampa, FL)
- LAW ENFORCEMENT INVESTIGATOR II - 41001246 Date: Nov 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Office of the Attorney General Working Title: LAW ENFORCEMENT INVESTIGATOR II - 41001246 Pay Plan: Career Service Position...of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida. The Attorney General's Medicaid Fraud… more
- Clark County, NV (Las Vegas, NV)
- …(3) years of full-time experience in performing criminal, civil and/or administrative investigations . Guardianship Compliance Investigator II - In addition to ... : Employment is contingent upon successful completion of a background investigation . Periodically after employment background investigations may be conducted.… more
- State of Colorado (CO)
- …and schools for the good of all Coloradans. What we do: The Security & Investigations unit ensures the physical and logical security of the Lottery Division, ... to enforce Colorado criminal laws and Lottery regulations/policies. The Security & Investigations unit oversees processing of all applications for retailer… more