- Development Finance Corporation (Washington, DC)
- …edits to OIG reports and correspondence, including OIG audits, inspections, investigations , special reviews, semiannual reports, Top Management Challenges, ... reports Provides direction and expert legal advice for the staff conducting investigations through all steps of the investigative process, conducts legal research,… more
- Valmont Industries, Inc. (Brenham, TX)
- …at the Valmont facility in Brenham, TX. This position requires individual initiative on special projects to complete a wide variety of tasks that are part of ... the site Manage injury, near miss, property damage, and hazard investigations ; lead root cause analysis sessions and aggressively pursue above-the-line corrective… more
- CVS Health (CA)
- …And we do it all with heart, each and every day. Medical Director - SIU ( Special Investigations Unit ) CVS Health - Special Investigations ... is a remote based, work from home role.** Key Responsibilities: The Special Investigations Unit (SIU) Medical Director will be responsible for performing… more
- The Robison Group (Brooklyn, NY)
- …and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will ... 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)
- **Description** **Investigator External Audit Special Investigations Unit \*Remote The SIU Audit Investigator supports the compliance related activities of ... the Special Investigations Unit (SIU) at the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing… more
- Geisinger (Danville, PA)
- …Responsible for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and ... by the enterprise. Job Duties + Provides leadership and strategic direction of Special Investigations and Program Integrity units spanning all lines of business.… more
- City of New York (New York, NY)
- …City Department of Correction seeks to recruit an Executive Director to oversee the Special Investigations Unit (SIU). Under the direct supervision of the ... for this management level position will be responsible for conducting all investigations into allegations of misconduct and special investigation apart from… more
- CVS Health (CT)
- …do it all with heart, each and every day. The **Senior RFI Analyst** within the Special Investigations Unit (SIU) plays a key role in supporting fraud, ... waste, and abuse investigations by managing and responding to Requests for Information...**Required Qualifications** + 5+ years of experience in healthcare investigations , compliance, or data analysis (or equivalent professional experience)… more
- Louisiana Department of State Civil Service (Monroe, LA)
- … Division is comprised of and responsible for the following sections/units/programs: + Special Investigations Unit This section comprises the following three ... + Description + Benefits + Questions About this Job Special Investigations Division The Special ...state and local law enforcement agencies in Louisiana. + Special Victims Unit Rescue and seek justice… more
- Command Investigations (Detroit, MI)
- … Investigations ) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator. SuperiorX ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
- Allied Universal (Tampa, FL)
- …depending on the position and eligibility. **Job Description:** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… more
- Prime Therapeutics (Pierre, SD)
- …of audits and investigations performed by the Pharmacy Audit Operations and Special Investigations Unit (SIU) teams. **Responsibilities** + Perform and ... and/or coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results… more
- Capital One (Mclean, VA)
- AML Sr Investigator II-SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations to ... of ideas + Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in a leadership capacity… 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 ... the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving...and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more
- State of Massachusetts (Boston, MA)
- …and others with insurance laws, rules, regulations and administrative bulletins (ie, referral to Special Investigations Unit ). * Participate on special ... Insurance Examiner II position reports to the Director of the Consumer Services Unit , which is responsible for ensuring that consumers are informed of their rights… more
- Zurich NA (Schaumburg, IL)
- …+ Participate in National Insurance Crime Bureau (NICB) and International Association of Special Investigations Unit (IASIU) meetings to stay informed on ... for potential fraud indicators and recommend cases for referral to ZCIS investigations . + Partner with investigators to collect additional insights, utilizing social… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …purposes. + Collaborate with internal teams (eg, claims processing, provider relations, special investigations unit ). + Utilize auditing software and ... communicate audit results and will collaborate with internal teams including the Special Investigation Unit and Payment Integrity Specialists. This role requires… more
- Travelers Insurance Company (Arlington, VA)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
- Travelers Insurance Company (Alexandria, VA)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
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