• Summa Health (Akron, OH)
    RN Special Investigations Unit ( SIU ) Investigator SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 hours / Days Hybrid / Remote SummaCare is a ... medical records c. Accredited Healthcare Fraud Investigator (AHFI) certification preferred. d. Special Investigations Unit ( SIU ) experience in a… more
    Upward (07/01/25)
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  • Investigator , Special

    CVS Health (Columbus, OH)
    …Better Health of Illinois and the Special Investigations Unit ( SIU )! **Position Summary** The SIU Investigator conducts investigations to ... - Assists team in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law enforcement agencies in the… more
    CVS Health (07/12/25)
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  • Investigator II - Payment Integrity…

    Elevance Health (Atlanta, GA)
    ** Investigator II - Payment Integrity SIU ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator II** will be responsible for the identification, investigation and… more
    Elevance Health (07/25/25)
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  • Investigator Senior - Carelon Payment…

    Elevance Health (Metairie, LA)
    ** Investigator Senior - Carelon Payment Integrity SIU ** **Location:** Must be located in **Louisiana** . This role requires associates to be in-office 1 - 2 days ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** will be responsible for the independent identification,… more
    Elevance Health (07/22/25)
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  • Analyst, Investigator (Aetna SIU )

    CVS Health (Annapolis, MD)
    …all with heart, each and every day. **Position Summary** - Conducts investigations to effectively pursue the prevention, investigation, and prosecution of healthcare ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
    CVS Health (06/28/25)
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  • Investigator , Special Investigative…

    Molina Healthcare (St. Petersburg, FL)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... 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
    Molina Healthcare (07/24/25)
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  • Manager Special Investigation Unit

    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 ... Job Summary - Manager Special Investigation Unit The SIU...organization + Direct and oversee a broad range of investigations and audits related to FWA, including medical and… more
    Corewell Health (07/19/25)
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