- State of Colorado (Denver, CO)
- Investigations Unit Manager (Hybrid) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4997906) Apply Investigations Unit Manager ... notary providers, and licensed durable medical equipment companies. The Investigations Unit exercises statutory authority under the... Unit by providing coaching and guidance to unit employees, and assigning case work while… more
- CVS Health (Jefferson City, MO)
- …day. Come work for Aetna Better Health of Illinois and the Special Investigations Unit (SIU)! **Position Summary** The SIU Investigator conducts ... - Researches and prepares cases for clinical and legal review . - Documents all appropriate case activity...in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law… more
- Centene Corporation (Austin, TX)
- … Review post-payment cases with appropriate parties to obtain refund + Provide case updates on progress of investigations and coordinate with Health Plans on ... the Continental US. Ideal candidate has strong background in healthcare fraud investigations and Accredited Health Care Fraud Investigator or a Certified Fraud… more
- State of Massachusetts (Springfield, MA)
- …The MCAD is seeking motivated and experienced individuals to Supervise the Employment Investigations Unit . Incumbent in this position will perform investigative ... case load and complete a minimum requirement of investigations each month. Incumbent in this position will also...provide on the job training for employees in their unit ; review and analyze investigative dispositions prepared… more
- The Walt Disney Company (Glendale, CA)
- …Investigations Manager within Global Security Investigations . The Global Security Investigations Team is a 24/7 response unit supporting the Global ... a part of the team that conducts research and investigations that protect the people, assets, and brand of...and relevance of online information. + Experience with standard case management systems, including entering and maintaining case… more
- MTA (New York, NY)
- Senior Director, Diversity and Equal Opportunity (DEO) Investigations Job ID: 11878 Business Unit : MTA Headquarters Location: New York, NY, United States ... Jun 16, 2025 Description JOB TITLE : Senior Director, Equal Opportunity (EO) Investigations SALARY RANGE : $146,000- $155,000 HAY POINTS : 954 DEPT/DIV: Diversity… more
- Bank of America (Richmond, VA)
- Operations Analyst - TFX Investigations - Global Payment Operations Richmond, Virginia **To proceed with your application, you must be at least 18 years of age.** ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Richmond/Operations-Analyst Global-Payment-Operations- Investigations \_25028926) **Job Description:** At Bank of America, we are… more
- Travelers Insurance Company (Irvine, CA)
- …through a continuous process of management involvement and frequent claim file review and extensive litigation management. Serve as a field representative for the ... service quality and streamlined processes to add value for our customers. + Review new notices, ensuring claims are assigned to staff with appropriate skill sets.… more
- City of New York (New York, NY)
- …guidelines of the grant. This person would be exclusively assigned to the Forensic Sciences Unit Cold Case team which would allow for a focused investigator to ... be invested throughout long-term investigations . JOB RESPONSIBILITIES: -Conduct thorough and professional ...assigned -Mentor and assist junior investigators when appropriate -Continuing case management and review -Provide on-going status… more
- Molina Healthcare (St. Petersburg, FL)
- …regulatory requirements. + Interacts with regulatory and/or law enforcement agencies regarding case investigations . + Prepares audit results letters to providers ... **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the...and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing… more
- City of New York (New York, NY)
- …of social services. - Review and assign case records to unit staff. Coordinate the workflow of investigations by providing technical assistance to all ... and deter Public Assistance fraud and misuse by conducting investigations of individuals and groups that attempt to or...and provide investigative information. - Maintain control on all case records assigned to the unit . Prepare… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing. ... Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for… more
- City of New York (New York, NY)
- …within required timeframes - Provide on-going training and guidance to all casework staff in unit to ensure that all case practice requirements are met - Assist ... consultation - Maintain accurate count of subordinates' caseload - Maintain accurate unit coverage during vacations - Arrange/conduct case conferences when… more
- City of New York (New York, NY)
- …and accurate unit coverage during vacations. - Arrange and conduct case conferences when appropriate, both external and internal. - Present and explain new ... and FSU), Emergency Children's Services (ECS), and the Office of Special Investigations (OSI). DCP Protective/Diagnostic (PD) Units, within DCP, are located across… more
- New York State Civil Service (Bronx, NY)
- …reports and pre-complaint interventions. * Liaise directly with DHR's Housing Investigations Unit to facilitate the filing of formal discrimination ... resolution, mediation, tenant organizing, fair housing advocacy, real estate management, case management or investigations related to civil rights, labor,… more
- City of New York (New York, NY)
- …- Under the guidance of the Division Director, conduct research on relevant case law and legal statutes. Review and interpret investigative policies to ... and deter Public Assistance fraud and misuse by conducting investigations of individuals and groups that attempt to or...one Associate Fraud Investigator II to function as an Unit Supervisor, who will: - Offer investigatory guidance as… more
- State of Massachusetts (Boston, MA)
- …and enforcement process.* * Establish policies to aid in the tracking of case management with the Offices of Investigations , Legal Counsel, and Prosecutions, ... to serve our citizens. *_About the Role:_* TheVarious Boards Unit (" Unit ") is one of DOL's administrative units....oversee the e-licensing workflows in the licensing software. * Review and approve or deny applications for licensure. *… more
- Commonwealth of Pennsylvania (PA)
- …Specialist Supervisor - South Mountain Secure Treatment Unit , Franklin County Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5021324) Apply ... Juvenile Justice Specialist Supervisor - South Mountain Secure Treatment Unit , Franklin County Salary $61,862.00 - $84,332.00 Annually Location Franklin County, PA… more
- City of New York (New York, NY)
- …IG). The BFI is recruiting for one (1) Clerical Associate III to function as a Unit Clerk, who will: - Enter specific case record information and other data ... operation into IREA internal database systems. Update previous information and retrieve case information when requested. - Review information from input forms… more
- University of Colorado (Aurora, CO)
- **Peer Recovery Specialist Medication Mobile Unit ** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of ... Program (AOP)** **Job Title: Peer Recovery Specialist - Medication Mobile Unit ** **Position: #00689809 - Requisition: #37224** **Job Summary:** **This full-time… more