- USAA (Louisville, KY)
- …of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Manager , Special Investigations Unit for Property & Casualty** , ... actions and decisions to carry out proactive claim's projects and investigations . + Reviews and evaluates investigation recommendations from investigators to ensure… more
- CVS Health (Frankfort, KY)
- …The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding ... SIU schemes. + Act as management back-up and supports the team when the manager is out of the office. + Maintains up-to-date coding knowledge, including new changes… more
- Molina Healthcare (Louisville, 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 on case investigation steps and actions. + Works with leadership to maintain and revise policies and procedures, fraud, waste, and abuse plans, annual audit work plans,… more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on.... This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- Thorntons LLC (Louisville, KY)
- The General Manager (GM) is responsible for managing all aspects of the business to ensure that Guests are delighted with a fast, friendly, fresh, clean, and ... is followed relating to safety, accidents, and incidents including reporting, investigations , and documentation *Create a place of welcoming and belonging for… more
- Elevance Health (Louisville, KY)
- …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
- Jabil (Florence, KY)
- …and responsibilities, personal development goals).. Solicit ongoing feedback from Test Engineering Manager , Workcell Manager (WCM), Business Unit Director ... contribute to the campus strategic directions.. Provide regular updates to Test Engineering Manager on the execution of the strategy. Monitor End to End the testing… more
- CVS Health (Frankfort, KY)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- ABM Industries (Louisville, KY)
- …AAP/EEO, and special projects. May contribute to the development of unit specific policies or programs. This role is **Onsite (Mon-Fri)** at **4703 Allmond ... a consultant to front-line leaders on human resource-related issues. The successful HR Manager acts as an on-site employee champion and change agent. The role… more