- City of New York (New York, NY)
- …Correction seeks to recruit Deputy Directors for the Special Investigation Unit ( SIU ). Under the direction of the Executive Director for SIU and with ... non-criminal, unique, highly confidential and sensitive investigations . The Special Investigation Unit ( SIU ) is responsible for investigating acts of… more
- LA Care Health Plan (Los Angeles, CA)
- Director , Compliance on Special Investigations Unit and... special investigations unit ( SIU ) and FWA program. The Director oversees ... net required to achieve that purpose. Job Summary The Director , Compliance on Special Investigations ...reports. Duties Leadership and Program Oversight: Lead LA Care's Special Investigations Unit ( SIU… more
- Centene Corporation (Tallahassee, FL)
- …Florida. **Position Purpose:** Oversee a full range of waste, abuse and fraud investigations , audits and medical code editing scenarios. Ensure all audits adhere to ... and abuse guidelines. + Oversee the activities of the SIU for accurate and timely operational reviews and final...or equivalent + 7+ years of related compliance and/or special investigation experience in managed care or CMS Pay… more
- City of New York (New York, NY)
- …Counsel, the Family Court, other OCSS divisions, OTDA, and other jurisdictions. The Special Investigations Unit ( SIU ) identifies and investigates ... parties including employers, financial institutions and attorneys. A Director of Special Projects who manages cross- unit projects to strengthen and improve… more
- MTA (New York, NY)
- …the development of routine quality assurance evaluations in collaboration with Security Special Investigations unit (s), MTA Legal, Labor relations, the ... Director , Quality Assurance Job ID: 13522 Business Unit : MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: HQ Office… more
- City of New York (New York, NY)
- …strong and healthy neighborhoods anchored by affordable housing. - The Strategic Initiatives Unit ( SIU ) leads special ONS initiatives and provides essential ... ONS is composed of two divisions and a cross-divisional unit reporting to the Associate Commissioner: - The Division...Commissioner of Neighborhood Strategies. Your Impact: As the Deputy Director for Brooklyn Planning, you will help lead a… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to ... the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving...program transparency and accountability. You will report to the SIU Director and work closely with Humana's… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity and coordination… more
- CDPHP (Latham, NY)
- …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity and coordination… more
- CVS Health (Phoenix, AZ)
- …effective use of health care resources. Under the direction of the Lead Director , Service Operations, this position will focus on utilization, quality and fraud ... methods, and treatment protocols. + Serves as a clinical SME supporting SIU Investigators, Managers, and Directors as appropriate in matters pertaining to the… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …Pay range: $25.64 - $25.64 POSITION SUMMARY: + Working in concert with the director of operations to ensure that the residential aides provide general assistance to ... + When appropriate, report priority #1 incident report to SIU and log the report into CARES + Along...part of a team, + Maintain open communication with director of operations + Interact with clients to promote… more
- City of New York (New York, NY)
- …strong and healthy neighborhoods anchored by affordable housing. - The Strategic Initiatives Unit ( SIU ) leads special ONS initiatives and provides essential ... ONS is composed of two divisions and a cross-divisional unit reporting to the Associate Commissioner: - The Division...livable, and equitable. Your Role: Reporting to the Borough Director , your role will include managing, tracking, reporting, and… more
- GuideOne Insurance (Lincoln, NE)
- …+ This position handles Commercial General Liability, Commercial Trucking, Director 's & Officer Liability, Employment Practices Liability, Commercial Auto injuries, ... claim. + Recognizes and pursues recovery opportunities and prepares submissions to SIU when indicated. + Assigns and supervises field examiners and vendor resources,… more