- CVS Health (Oklahoma City, OK)
- …**Position Summary** This position can be work from home in the State of Oklahoma. Must be willing to work CDT schedule. - Conducts investigations to effectively ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
- The Robison Group (Brooklyn, NY)
- …reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… more
- Providence (Oakland, CA)
- …** Investigator External Audit Special Investigations Unit \* Remote The SIU Audit Investigator supports the compliance related activities of ... the Special Investigations Unit ( SIU ) at the...must empower them. **_Providence Health Plan welcomes 100% remote work for applicants who reside in the following… more
- Humana (Tallahassee, FL)
- …help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and ... **Use your skills to make an impact** **WORK STYLE:** Remote , work at home. While this is a ...years of relevant work experience in Fraud & Abuse Investigations required + At least 2 years of healthcare… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator ... to join the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving providers who submit… more
- AmeriHealth Caritas (Columbus, OH)
- … investigations . + Performs necessary functions to support all aspects of SIU investigations and responsibilities to include, but not limited to: Intake; ... next generation of health care leaders. **This position is remote however, you must live and be...in lieu of formal educational requirements for the Lead SIU Investigator position may be considered.; +… more
- The Robison Group (Albany, NY)
- …extensive background check . + Individuals are required to obtain their own New York private investigator license upon hire. + Must be able to pass a drug test ... selected for the position will be expected to perform investigations of workers compensation claims, liability investigations ,...are strongly encouraged to apply. POSITION QUALIFICATIONS: + Candidates must be willing and able to obtain a New… more
- Command Investigations (Las Vegas, NV)
- …Command Investigations , founded in 2012, is a nationally recognized investigations firm offering surveillance, remote investigations , desktop ... Command Investigations , LLC is looking for Claims Investigator...This is a great opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and a drive… more
- Command Investigations (TN)
- Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in ... as a leader in the investigation industry. At Command Investigations , we take pride in our proven track record...with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required, as… more