- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Special Investigation Unit The SIU Manager is responsible for leading and managing the Special Investigation Unit (SIU) ... agencies, and other external stakeholders. Essential Functions - Manager Special Investigation Unit + Effectively...E Beltline - Grand Rapids Department Name PH - Special Investigations Unit Employment Type… more
- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. About the department Bassett Medical Center's Special Care Unit is a 24-bed intermediate care unit , serving as ... to meet the needs of our rural community. The Special Care unit is consistently hiring for...by managerial observation Helps to identify clinical problems requiring investigation as measured by co-worker feedback and managerial observation.… more
- Allied Universal (Malden, MA)
- … as needed to ensure a full schedule** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Kemper (Lake Mary, FL)
- …required by law and management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. + Develops and ... **Position Summary** : The SIU Desk Investigator I is responsible for the investigation of simple claims that may contain elements of fraud or claims otherwise… more
- JPMorgan Chase (Jersey City, NJ)
- …security solutions, ensuring a safer and more secure future for all. As a Special Investigations Unit Investigator within the Global Security team, you ... will be responsible for conducting complex and sensitive investigations involving Code of Conduct violations in both North...Relations, Compliance, and/or Audit throughout the course of any investigation . This position requires the use of one or… more
- CVS Health (Jefferson City, MO)
- …and every day. Come work for Aetna Better Health of Illinois and the Special Investigations Unit (SIU)! **Position Summary** The SIU Investigator conducts ... investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to...in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law… more
- The Robison Group (Ocala, FL)
- …other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will ... utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and...+ Make sound judgments during the course of the investigation . + Provide timely progress updates. + Complete detailed… more
- McLaren Health Care (Flint, MI)
- …programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ . **Position Overview:** The Special Investigations Unit (SIU) Coder supports lines of ... for performing medical claims and records reviews to assist in investigations , ensuring compliance with coding practices through a comprehensive record review… more
- Molina Healthcare (St. Petersburg, FL)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, ... investigation , reporting, and when appropriate, recovery of money related...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- City of New York (New York, NY)
- …for one (1) Associate Benefits Opportunity Specialist, Level 1 to function as SPECIAL EVIDENCE PROCESSING UNIT (SEPU) SPECIALIST who will: - Review and ... self-sufficiency as quickly as possible. The Fair Hearing Specialized Evidence Packet Unit (SEPU) prepares evidence packets used by the Agency Representatives to… more
- Centene Corporation (Austin, TX)
- …of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and measure ... the Continental US. Ideal candidate has strong background in healthcare fraud investigations and Accredited Health Care Fraud Investigator or a Certified Fraud… more
- Kemper (Lake Mary, FL)
- …be responsible for analyzing referrals submitted via multiple channels for potential investigation by the SIU team. **Position Qualifications:** * College Degree or ... equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong communication/interpersonal skills + A high degree of analytical ability and problem-solving skills + Practical… more
- Molina Healthcare (Covington, KY)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU ... referral intake and investigation process while giving guidance and direction to team...while giving guidance and direction to team on case investigation steps and actions. + Works with leadership to… more
- US Secret Service (Washington, DC)
- …here. Responsibilities SPECIAL AGENTS During the course of their careers, Special Agents carry out assignments in both investigations and protection and ... team member (in a non-support or administrative role) in a Department of Defense special operations unit Served as a military member possessing direct combat… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …Bureau as a Health Facilities Officer 1 for Adult Services within our Adult & Special Services Unit . Who We Are DIAL is a multifaceted regulatory agency charged ... position is a self-starter. The position reports directly to the Adult & Special Services Unit Manager. The position requires occasional state-wide, overnight… more
- MTA (Brooklyn, NY)
- …Open until till filled. Authority: TA/OA/MTA Bus Department: Office of the President Division/ Unit : Special Investigations & Review Reports to: Chief ... Assistant Chief Officer- Special Investigations and Review Job ID: 12205 Business Unit : New York City Transit Location: Brooklyn, NY, United States… more
- New York State Civil Service (New York, NY)
- …control, integrity control, records custody, and peace officer training;* Manages a special projects unit supervisor overseeing a team engaged in ... Title Deputy Director of Investigative Support, Insurance Frauds Bureau (Chief Investigations , NS) Occupational Category Other Professional Careers Salary Grade NS… more
- Pentagon Force Protection Agency (VA)
- …upon meeting PFPA medical standards and performing duties required by the Emergency Response Team (ERT) Special Unit . Upon movement out of a Special Unit ... Unit position, employee is no longer authorized the additional 6% supplement ( Special Unit Pay) This position is identified as a covered position under the… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Special Investigations Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on ... - $111,800.00 **Skills** Depositions, Evidence Collection, Forensic Accounting, Fraud Investigations , Investigation Techniques, Investigative Analysis, Job Interviews,… more
- Federal Reserve Bank (Washington, DC)
- …Special Agent/Sr Special Agent-Division of Board Members: Protective Service Unit - R025176 Primary Location : DC-Washington : Employee Status : Regular ... equivalent experience Minimum Experience 5 Summary Serves as a Special Agent of the Protective Services Unit ...clearance on the basis of a Single Scope Background Investigation . This position is subject to the Board’s Fitness… more