- CVS Health (Springfield, IL)
- …care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or ... in identifying resources and best course of action on investigations * Serves as back up to the Team...years of working health care fraud, waste and abuse investigations . Pay Range The typical pay range for this… more
- CVS Health (Tallahassee, FL)
- …regulations mandating fraud plans. Fundamental Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud and abuse. - ... Investigators. - Assists Investigators in identifying resources and best course of action on investigations . - Serves as back up to the Team Leader as necessary. -… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, ... Program Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase… more
- Capital One (Richmond, VA)
- …United States of America, Richmond, Virginia Anti-Money Laundering Subject Matter Expert (SME) - Special Investigations Unit ( SIU ) The Complex ... CIU and outside of the CIU when required, including senior management and established people leaders, to foster increased...least 2 years of Anti-Money Laundering experience within the Special Investigations Unit Preferred Qualifications:… more
- National General Insurance Company (Uniondale, NY)
- …analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation unit ( SIU ) for potential fraud. This role ... ** This role is a field Investigator role where the investigator would...Brooklyn, The Bronx, Queens and Staten Island NY. Previous SIU claims and/or law enforcement investigation experience preferred** Job… more
- Command Investigations (Lake Mary, FL)
- …as meeting strict due dates. A minimum of 10 years' experience as an SIU Investigator is required. Field investigation assignments in the incumbent's local area ... The candidate should demonstrate proficiency in the following areas: + Homeowner's SIU investigations . Additional investigative experience in Cargo and non-auto… more
- Providence (CA)
- …Pre-Payment External Auditor, Finance who will:** + Support the compliance related activities of the Special Investigations Unit ( SIU ) at the Health Plan ... + Detailed tracking of prepay audit operations (ie. live claims queue, SIU claims workflow, claims review history) and audit documentation + Provide customer… more