- State of Massachusetts (Boston, MA)
- …seeking an experienced and dedicated individual to fill the role of Director for the Special Investigations Unit . In this role, the Director will be ... through managing and monitoring all clinical and administrative operations of the Special Investigations Unit . This specialized unit is responsible for… more
- LA Care Health Plan (Los Angeles, CA)
- Director, Compliance on Special Investigations Unit and Fraud, Waste and Abuse Job Category: Administrative, HR, Business Professionals Department: ... Special Investigations Unit Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12591 Salary Range: $135,136.00 (Min.) - $175,676.00… more
- Prime Therapeutics (Salem, OR)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Special Investigations Unit (SIU) Investigator - Remote **Job Description** ... The Special Investigations Unit (SIU) Investigator is responsible for conducting standard investigations of potential pharmacy, member, and/or prescriber… more
- UPMC (Pittsburgh, PA)
- …formfieldid="descriptionInt" UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is ... is a remote position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud,… more
- The Cigna Group (Bloomfield, CT)
- **Fraud Senior Advisor - Special Investigations Unit (SIU) Matter Resolution** Our organization is a leader in healthcare services, committed to integrity, ... accountability and collaboration. **Position Overview** The Fraud Senior Advisor - Special Investigations Unit (SIU) Matter Resolution plays a critical role… more
- CVS Health (Topeka, KS)
- …Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a specific ... self-funded plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key… 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
- City of New York (New York, NY)
- …responsible for directing criminal and/or non-criminal, unique, highly confidential and sensitive investigations . The Special Investigation Unit (SIU) is ... investigators, engaged in the performance of confidential, highly complex, and/or special investigations involving surveillances, interrogation of subjects and… more
- CVS Health (St. Paul, MN)
- …all with heart, each and every day. **Position Summary** - Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
- Humana (Dayton, OH)
- …Department of Medicaid (ODM) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase ... to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues + Work with the Contract Compliance… more
- CVS Health (Harrisburg, PA)
- …can be work from home anywhere in the United States. **Position Summary** The Special Investigations Unit (SIU) is looking for an analytically driven ... and reviewing incoming referrals and leads to determine if additional investigations are warranted. **Key Responsibilities** + Identify, research, analyze and… more
- Allied Universal (Provo, UT)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… 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
- Banco Popular Puerto Rico (San Juan, PR)
- …The Special Investigations Manager is responsible for overseeing the Special Investigations unit , which handles inquiries into customer claims, ... areas. + Foster a culture of integrity, accountability, and continuous improvement. Special Investigations & Audit Collaboration + Oversee investigations … more
- State of Minnesota (Minneapolis, MN)
- …programs. This position provides executive leadership and oversight of both the Special Investigations Unit (SIU), which investigates complex allegations ... Posted** : 11/17/2025 + **Closing Date** : 12/08/2025 + **Hiring Agency/Seniority Unit ** : Education Department / MDE-CO-Managerial + **Division/ Unit ** :… more
- City of New York (New York, NY)
- …the Family Court, other OCSS divisions, OTDA, and other jurisdictions. The Special Investigations Unit (SIU) identifies and investigates hard-to-collect ... senior management oversight and direction for OCSS' Administrative Enforcement, Interstate, Special Investigations and Employment Services Units. The incumbent… more
- Centene Corporation (Jefferson City, MO)
- …reporting of instances of potential fraud, waste and abuse no within scope of the Special Investigations Unit . + Prepare periodic reports and, as necessary, ... the continental United States. **Position Purpose:** The VP Corporate Compliance Investigations is responsible for the initial assessment of internal allegations and… more
- Capital One (Plano, TX)
- 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
- NJM Insurance (Trenton, NJ)
- …had this excellent opportunity!" Overview NJM is considering 2026 summer interns for our Special Investigations Unit , (SIU). Interns for the summer season ... place to learn and grow. The community is truly special ." Kyle: "I cannot recommend this internship enough to...external data sources to support SIU's policy and claim investigations . The SIU Intern will gain work experience while… more
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