- CVS Health (OK)
- …**Position Summary** This position can be work from home in the State of Oklahoma. Must be willing to work CDT schedule. - Conducts investigations to effectively ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
- The Robison Group (Brooklyn, NY)
- …reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... 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)
- …** Investigator External Audit Special Investigations Unit \* Remote The SIU Audit Investigator supports the compliance related activities of ... the Special Investigations Unit ( SIU ) at the...must empower them. **_Providence Health Plan welcomes 100% remote work for applicants who reside in the following… more
- Humana (Indianapolis, IN)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities to increase Medicaid program… more
- Centene Corporation (Frankfort, KY)
- …of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and measure ... perspective on workplace flexibility. Please note: per contract requirements, candidates must reside within the state of Kentucky. **Position Purpose:** Investigate… more
- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- The Robison Group (Youngstown, OH)
- …position may be for you. The Robison Group is seeking a Traveling Surveillance Investigator ideally based in northeast Ohio. The position is full time and travel ... selected for the position will be expected to perform investigations of workers compensation claims, liability investigations ,...are strongly encouraged to apply. POSITION QUALIFICATIONS: + Candidates must be willing and able to obtain an Ohio… more
- Command Investigations (TN)
- Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in ... as a leader in the investigation industry. At Command Investigations , we take pride in our proven track record...with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required, as… more