- 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...managerial observation + Helps to identify clinical problems requiring investigation as measured by co-worker feedback and managerial observation.… more
- Capital One (Richmond, VA)
- AML Sr. Investigator I - Special Investigations Unit **AML Sr. Investigator I - Special Investigations Unit ** The Anti-Money Laundering (AML) Sr. ... closely with AML Supervisors and Managers to perform other critical functions. The Special Investigations Unit conducts suspicious activity reporting and… more
- The Robison Group (Oklahoma City, OK)
- …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
- CVS Health (Richmond, VA)
- …experience with medical record review within a healthcare insurance company. - Prior special investigation unit experience. - Excellent analytical skills. - ... Excellent communication skills. **Education** - GED or equivalent - AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00… more
- CVS Health (Hartford, CT)
- …do it all with heart, each and every day. The **Senior RFI Analyst** within the Special Investigations Unit (SIU) plays a key role in supporting fraud, ... waste, and abuse investigations by managing and responding to Requests for Information...Medicaid and Medicare programs - Familiarity with state-specific fraud investigation protocols (eg, Texas OIG, Florida AHCA) - Prior… more
- Molina Healthcare (Lexington, KY)
- **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
- CVS Health (Albany, NY)
- …Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special Investigations Unit . In this role, you will ... fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse.… 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
- Geisinger (Danville, PA)
- …Responsible for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and ... directs the prevention, detection and investigation of anti-fraud, waste and abuse (FWA)program processes and...Job Duties + Provides leadership and strategic direction of Special Investigations and Program Integrity units spanning… more
- CVS Health (Harrisburg, PA)
- …every day. **Position Summary** **Position Summary** TThe SIU Investigator conducts investigations to effectively pursue the prevention, investigation and ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.… more
- CVS Health (Hartford, CT)
- …be flexible to work EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of ... agencies as required by law and regulation. **Fundamental Components:** - Conducts investigations of known or suspected acts of healthcare fraud, waste, and abuse… 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
- 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
- Office of the Comptroller of the Currency (Washington, DC)
- …Supervision, you will: Plan, organize, implement, and direct the daily activities of the Special Supervision unit and direct the activities of the problem bank ... Supervision, you will plan, organize, implement, and direct activities associated with Special Supervision as well as supervise assigned staff and direct the… more
- New York State Civil Service (Garden City, NY)
- …of a departmental law guardian office.LOCATION: MENTAL HYGIENE LEGAL SERVICE - SPECIAL LITIGATION AND APPEALS UNIT , GARDEN CITY, NASSAU COUNTYCLASSIFICATION: ... NY HELP No Agency Court Administration, Office of Title Attorney Series, Special Litigation and Appeals (# 52559) Occupational Category Legal Salary Grade 31… more
- City of Detroit (Detroit, MI)
- …Staff Job Number 20241929102PLDM Department Law Opening Date 08/05/2025 Bargaining Unit 9801-Administrative Special Service-Non-Exempt + Description + Benefits + ... Legal Assistant/Paralegal (Temporary Administrative Special Services) Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5032742) Apply Legal Assistant/Paralegal… 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
- Louisiana Department of State Civil Service (Breaux Bridge, LA)
- …criminal and terrorist activity. + Criminal Intelligence Unit (https://lsp.org/about/leadershipsections/bureau-of- investigations / special - investigations ... located in St. Martin Parish and will support the Special Investigations Section of the Office of...state and local law enforcement agencies in Louisiana. + Special Victims Unit Rescue and seek justice… more
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