- CVS Health (Springfield, IL)
- …Summary: As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... multi-lines of business, or cases involving multipleperpetrators or intricate healthcare fraud schemes * Investigates to prevent payment of...in identifying resources and best course of action on investigations * Serves as back up to the Team… more
- Magellan Health Services (Boise, ID)
- …effective. + Collaborates and work in coordination with other subject matter experts in Special Investigations Unit ( SIU ), cost containment, legal, ... of Excel. Knowledge of HIPAA. Healthcare experience. General Job Information Title SIU Program Integrity Investigator - Remote (In Idaho) Grade 23 Work… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation ... Exercised:** No **What You'll Be Doing:** + Plan, organize, and execute investigations or audits utilizing document review, witness interviews and data analysis to… more
- CVS Health (Tallahassee, FL)
- …state regulations mandating fraud plans. Fundamental Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud and ... provider groups, or cases involving multiple perpetrators or intricate healthcare fraud schemes. - Investigates to prevent payment of...in identifying resources and best course of action on investigations . - Serves as back up to the Team… more
- CVS Health (Richmond, VA)
- …funds, and to comply with state regulationsmandating fraud plans and practices.- Conducts investigations of known or suspected acts of healthcare fraud and ... in healthcare field working in fraud, waste and abuse investigations and audits.- Strong analytical and research skills.- Proficient in researching information… 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 ... Lives** Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so...+ (3) years of experience in fraud investigation, a special investigation unit , or a related field.… more
- CVS Health (Hartford, CT)
- …- Exhibits behaviors outlined in Employee Competencies - Exhibits behaviors outlined in SIU Investigator Competencies - May include travel to testify in court ... required by law and regulation. Fundamental Components: - Conducts investigations of known or suspected acts of healthcare... investigations of known or suspected acts of healthcare fraud, waste, and abuse - Communicates with federal,… more