- Dexian - DISYS (Baltimore, MD)
- …Contract - Possible extension Job Description: Job Duties: The role of the Special Investigations Unit ( SIU ) Investigator is to assist in the ... Position: Special Investigations Unit ( SIU ) InvestigatorLocation:... Unit . Qualifications:Education Level: Bachelor's DegreeExperience: 2 years insurance , investigative, health care, nursing or law… more
- System One (Baltimore, MD)
- …support a leading health insurance customer. The individual will work with the Special Investigations Unit ( SIU ) to assist in the reduction and ... valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending… more
- CVS Health (Springfield, IL)
- … care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or ... *Bachelor's degree or an additional 5 years of working health care fraud, waste and abuse investigations ....eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
- Point32Health (Canton, MA)
- …to join our organization as a nInvestigator within our Special Investigations Unit (" SIU "). The Investigator is an essential team member of the ... SIU , responsible for leading complex provider investigations related to fraud, waste and abuse, and developing action plans to address the investigative findings… more
- Travelers Insurance Company (Brookfield, WI)
- …- $109,700.00 **Target Openings** 1 **What Is the Opportunity?** This SIU Investigator is responsible for conducting field investigations in a dynamic fast ... into actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including… more
- Commonwealth Care Alliance (Boston, MA)
- …background or formal data analyst background preferred. + Prior experience in health care compliance, regulation, SIU , government agency or similar position ... **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing... works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation and prevention… more
- CVS Health (Baton Rouge, LA)
- …health care more personal, convenient and affordable. Position SummaryAs a Senior Investigator you will conduct high level, complex investigations of known or ... Bachelor's degree or an additional 5 years of working health care fraud, waste and abuse investigations ....eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
- CVS Health (Tallahassee, FL)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...fraud plans. Fundamental Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud… more
- CVS Health (Richmond, VA)
- …- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits. Pay Range ... Bring your heart to CVS Health . Every one of us at CVS ...more personal, convenient and affordable. Position Summary - Conducts investigations to effectively pursue the prevention, investigation, and prosecution… more
- CVS Health (Trenton, NJ)
- …- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits. Pay Range ... Bring your heart to CVS Health . Every one of us at CVS ...care more personal, convenient and affordable. Position Summary- Conducts investigations to effectively pursue the prevention, investigation, and prosecution… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... processing, b) customer service function or equivalent experience in investigative, health care, nursing, law enforcement or insurance . **Preferred… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …https://healthsource.premera.com . As a member of Premera's Special Investigations Unit ( SIU ), the ** Investigator III** will be responsible for ... government plan auditing experience preferred. + Strong understanding of health insurance reimbursement methodologies, including familiarity with International… more
- Idaho Division of Human Resources (Boise, ID)
- …operations. The position reports directly to the Chief Investigator of the IDOC Special Investigations Unit ( SIU ). This position is located at ... IDOC - Investigator (Internal Affairs) Posting Begin Date: 2024/05/16 Posting... to plan, organize, and conduct administrative or criminal investigations involving incarcerated individuals, staff, and private citizens that… more
- Universal Health Services (Reno, NV)
- …the patient experience. Learn more at: https://prominence- health .com/ Job Summary: The Special Investigations Unit is responsible for investigating and ... + Bachelor's Degree or equivalent years of relevant work experience in Health -Related Field or Insurance required + Licenses/Certifications: Coding certification… more
- Commonwealth Care Alliance (Boston, MA)
- … Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit ( SIU ). The position reports directly to the Sr. ... (Word, Excel, PowerPoint, and Access). **Desired Experience:** + Prior experience in health care compliance, regulation, SIU , government agency or similar… more
- AmeriHealth Caritas (Washington, DC)
- ** Special Investigator Managed Care - DMV...pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations … more
- Manulife (Boston, MA)
- …squads to drive savings associated with fraud, waste & abuse. The Senior LTC Investigator will conduct desktop investigations of high complexity related to LTC ... Ability to apply a working knowledge of state laws and regulations related to insurance fraud and SIU requirements + Experience testifying in legal proceedings… more
