- CVS Health (Hartford, CT)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- The Hartford (Hartford, CT)
- …community too. If that sounds like you, then you've landed in the right place.The Special Investigation Unit (SIU) Manager will be responsible for: + ... emerging trends related to insurance fraud schemes. + The Manager must be able to liaison with industry peers...+ Bachelor's Degree preferred. + Minimum of five years special investigation insurance claims experience and/or investigative… more
- Elevance Health (Wallingford, CT)
- …eliminate and prevent unnecessary medical-expense spending. **Staff Vice President (VP), Special Investigations Unit (SIU)** **Location:** May be located in ... and/or teams across the national SIU. + Functions within the SIU include investigations , case intake and assignment, and data analysis. + Hires, trains, coaches,… more
- CVS Health (Hartford, CT)
- …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...The analyst will also provide **leadership support** to the Manager by assisting with team coordination, reporting, and strategic… more
- The Hartford (Hartford, CT)
- …presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on special projects and developing reports to support Regional ... and file reviews, coaching, etc. + Active participation in special projects that could be technical in nature (ie)...the demonstration of operational loss analysis reports and accident investigations used to direct services that would eliminate or… more
- Synchrony (Stamford, CT)
- …**Role Summary/Purpose:** The AVP of Account Management Transactional Fraud (AMTF) Special Implementations is a position reporting to the VP, Account Management ... Transactional Fraud (AMTF) Special Implementations. This is an individual contributor position. This...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Synchrony (Stamford, CT)
- …help you realize your unique ambitions. As an **Associate Vice President, Audit Manager ,** you'll play an integral part of ensuring our ongoing financial health. In ... meetings, training and culture events._** As an **AVP, Audit Manager - Finance and Platforms** a typical day might...relationships with key stakeholders + Perform other duties and/or special projects as assigned **This role is a great… more
- Synchrony (Stamford, CT)
- …other production team members as needed. + Perform other duties and/or special projects as assigned. **Qualifications & Requirements:** + Bachelor's Degree with 6+ ... and all our voices matter, tell us about your special way of influencing others. **Grade/Level: 12** The salary...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
- Synchrony (Stamford, CT)
- …**Role Summary/Purpose:** This position reports into the VP, Senior Audit Manager - Credit, responsible for providing independent and objective assessment of ... through ongoing professional development. + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree in… more
- Elevance Health (Wallingford, CT)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Travelers Insurance Company (Hartford, CT)
- …with Unit Manager on use of Claim Coverage Counsel. + Investigation /Evaluation: + Investigates each claim to obtain relevant facts necessary to determine ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- Synchrony (Stamford, CT)
- …techniques. Provide effective challenges to identify potentials issues requiring further investigation , and resolve problems + Assume complete responsibility for the ... and Model Risk Oversight Committee + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Master's degree and 12+ years'… more
- State of Connecticut, Department of Administrative Services (Putnam, CT)
- …provisions of the Americans with Disabilities Act (ADA), please contact Edward Magnano, EEO Manager at (860) 418 - 6148 or ###@ct.gov PURPOSE OF JOB CLASS (NATURE OF ... in the plumbing and steamfitting trade. MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE Two (2) years of the General Experience...of facts stated in the application, a thorough background investigation of each candidate may be made before persons… more
- Travelers Insurance Company (Hartford, CT)
- …handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …provisions of the Americans with Disabilities Act (ADA), please contact Edward Magnano, EEO Manager at (860) 418 - 6148 or ###@ct.gov PURPOSE OF JOB CLASS (NATURE OF ... in one or more trade areas. MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE Two (2) years of the General Experience...of facts stated in the application, a thorough background investigation of each candidate may be made before persons… more
- Synchrony (Stamford, CT)
- …focused on collaboration and growth. + May perform other duties and/or special projects as needed **Qualifications / Requirements** + Bachelor's degree and ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more
- Synchrony (Stamford, CT)
- …technology or exploring new tools + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree and minimum of ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more
- Synchrony (Stamford, CT)
- …with regulators for periodic exams. + Perform other duties and/or special projects as assigned. **Qualifications/Requirements:** + Bachelor's degree in a ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more
- Synchrony (Stamford, CT)
- …consistency across the model lifecycle. + Perform other duties and/or special projects as assigned. **Qualifications/Requirements** **:** + Bachelor's degree in a ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more
- Synchrony (Stamford, CT)
- …critical decisions and business processes. + Perform other duties and/or special projects as assigned **Qualifications/Requirements:** + Bachelor's Degree and 12+ ... to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding...consistently meet performance expectations and have approval from your manager to post (or the approval of your … more