- State of Massachusetts (Boston, MA)
- …highly organized, mission-driven individual to fill the role of Area Program Manager (APM) for the Special Investigations Unit ( SIU ). The Special ... The Area Program Manager is a member of the SIU senior management team, is involved with all aspects...of Children & Families* **Title:** *Area Program Manager - Special Investigations Unit * **Location:** *Massachusetts-Boston-600… more
- Capital One (Richmond, VA)
- …United States of America, Richmond, Virginia Anti-Money Laundering Subject Matter Expert (SME) - Special Investigations Unit ( SIU ) The Complex ... certification + At least 2 years of Anti-Money Laundering experience within the Special Investigations Unit Preferred Qualifications: + Bachelor's Degree +… more
- The Hartford (NJ)
- …help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will be based out ... within his or her area of responsibility and leverage knowledge gained to SIU analytical resources. + Independently complete investigations in accordance with… more
- The Robison Group (Fort Myers, FL)
- …searches, and other investigative tasks. 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
- Capital One (Richmond, VA)
- West Creek 3 (12073), United States of America, Richmond, Virginia Special Investigations Unit ( SIU ) Anti-Money Laundering Supervisor **Job Title:** ... supervises various AML processes, which might include suspicious activity investigations , currency transaction reporting, global sanctions screening, enhanced due… more
- CVS Health (Springfield, IL)
- …Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... 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 (Frankfort, KY)
- …AAPC Coding certification - 3+ years of experience in medical coding or documentation auditing.- 2 years or more previous experience with Behavioral Health ... coding/auditing of records- Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements- Experience with researching coding and policies.- Experience with Microsoft Excel - Strong attention… more
- Corewell Health (Grand Rapids, MI)
- …SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name PH - Special Investigations Unit Employment Type Full time Shift Day (United States ... of America) Weekly Scheduled Hours 40 Hours of Work 8 am to 5 pm Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for… more
- Allied Universal (Des Moines, IA)
- …more for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator - Part-Time. ... Special Investigations Unit ( SIU ) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The … more
- Point32Health (Canton, MA)
- …seeking highly motivated individuals to join our organization as a nInvestigator within our Special Investigations Unit (" SIU "). The Investigator is an ... essential team member of the SIU , responsible for leading complex provider investigations related to fraud, waste and abuse, and developing action plans to… more
- State of Massachusetts (Boston, MA)
- …and others with insurance laws, rules, regulations and administrative bulletins (ie, referral to Special Investigations Unit ). * Participate on special ... The Insurance Examiner II position reports to the Director of the Consumer Services Unit , which is responsible for the ensuring that consumers are informed of their… more
- Magellan Health Services (Boise, ID)
- …effective. + Collaborates and work in coordination with other subject matter experts in Special Investigations Unit ( SIU ), cost containment, legal, ... Responsible for conducting compliance audits, risk assessments, investigations , education and training assignments relating to billing, coding, reimbursement and… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... accurately in Fraud, Waste and Abuse case management system. Monitor and notify SIU associates on dollar recovery and Corrective Action Plan status. + Pursues low… more
- City of New York (New York, NY)
- Job Description The Special Investigations Unit ( SIU ) of the Law Department conducts Investigations . In-House investigations include, but are not ... ensure the PE'd individual is not present in the unit . The visits are documented in the Law Department's...general supervision, with latitude for independent initiative and judgment, SIU Team members conduct professional investigations of… more
- Louisiana Department of State Civil Service (Jefferson, LA)
- …+ Description + Benefits + Questions Supplemental Information This vacancy is located in the Special Investigations Unit of the Office of State Fire Marshal ... let us knowat that timeif you have a disability and need a special accommodation. All candidates for hire must undergo drug screening and additional background… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com . As a member of Premera's Special Investigations Unit ( SIU ), the **Investigator ... initiate, analyze, develop, and successfully complete and resolve fraud investigations of medium to high level complexity. You will...+ (3) years of experience in fraud investigation, a special investigation unit , or a related field.… 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 ... Manhattan, Brooklyn, The Bronx, Queens and Staten Island NY. Previous SIU claims and/or law enforcement investigation experience preferred** Job Summary: This… more
- Allied Universal (Tallulah, LA)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim investigations , compliance and corporate governance company,… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more
- CVS Health (Topeka, KS)
- …make health care more personal, convenient and affordable. Position Summary Serves as the Special Investigations Unit single point of contact for Kansas ... on business needs) Preferred Qualifications + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the following States: Florida,… more