- Molina Healthcare (Bowling Green, KY)
- **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
- Molina Healthcare (Bowling Green, KY)
- …the audit process and provide recommendations for system enhancement to augment investigative outcomes and performance. + Accurately tracks, reports, and follows up ... Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud Examiner (CFE) **Preferred Education**… more
- BlueCross BlueShield of Tennessee (Nashville, TN)
- …to protect the integrity of healthcare? At BlueCross BlueShield of Tennessee, our Special Investigation Unit plays a critical role in safeguarding our members ... Are you a seasoned ** Investigator ** with a keen eye for detail and...to provider offices throughout the Middle Tennessee area for investigative purposes, as well as quarterly travel to the… more