- CVS Health (Columbus, OH)
- …for Aetna Better Health of Illinois and the Special Investigations Unit (SIU)! **Position Summary** The SIU Investigator conducts investigations to ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...experience working on health care fraud, waste, and abuse investigations and audits required or equivalent investigations … more
- Molina Healthcare (Cleveland, OH)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Elevance Health (Mason, OH)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more