• Special Investigations Unit

    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 ) ... Special Investigations Unit ( SIU ) Investigator is responsible...(CPhT) + Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + Experience… more
    Prime Therapeutics (12/05/25)
    - Save Job - Related Jobs - Block Source
  • Medical Investigator I/II ( RN

    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 ... addition to Level I Accountabilities) + Performs more complex investigations with less direct supervision. Performs compliance and/or governance...criminal justice or related field; or employment as an investigator in the SIU on or before… more
    Excellus BlueCross BlueShield (09/17/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Investigator

    MVP Health Care (Tarrytown, NY)
    …limited to MD or RN . + New York State Nursing license required ( RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC ... 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
    MVP Health Care (12/02/25)
    - Save Job - Related Jobs - Block Source
  • Investigator , Coding Special

    Molina Healthcare (Ann Arbor, MI)
    …Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse ( RN ), Licensed practical ... **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for...5+ years of experience working in a FWA / SIU or Fraud investigations + Thorough knowledge… more
    Molina Healthcare (11/20/25)
    - Save Job - Related Jobs - Block Source