• Medical Director - SIU

    CVS Health (CA)
    …And we do it all with heart, each and every day. Medical Director - SIU ( Special Investigations Unit ) CVS Health - Special Investigations ... work from home role.** Key Responsibilities: The Special Investigations Unit ( SIU ) Medical Director will be responsible for performing reviews of… more
    CVS Health (10/01/25)
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  • Lead Medical Director

    Blue KC (MO)
    …other areas within the company, including but not limited to Sales and Marketing, Special investigations Unit (fraud and abuse), Legal, Product Development, ... financial assistance** **Employee discount program** **Job Description Summary:** The Lead Medical Director actively uses their clinical training, experience,… more
    Blue KC (08/26/25)
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  • Community Health Assessment Field Nurse (Rochester…

    Excellus BlueCross BlueShield (Rochester, NY)
    …agencies (eg APS/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit ( SIU ) or designated internal/external ... as required. + May be required to attend Fair Hearings with Medical Director relating to specific cases. + Works independently, as well as collaboratively,… more
    Excellus BlueCross BlueShield (09/27/25)
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  • Case Manager, RN (Commercial)

    Excellus BlueCross BlueShield (Rochester, NY)
    …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity… more
    Excellus BlueCross BlueShield (09/30/25)
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