- Molina Healthcare (Louisville, KY)
- …the audit process and provide recommendations for system enhancement to augment investigative outcomes and performance. + Accurately tracks, reports, and follows up ... on overpayments and recoveries + Leads business requirement process and reporting to ensure proper and timely notification of case activity to the appropriate regulatory and/or law enforcement agency. **JOB QUALIFICATIONS** **Required Education** Bachelor's… more
- Elevance Health (Louisville, KY)
- …eliminate and prevent unnecessary medical-expense spending. **Staff Vice President (VP), Special Investigations Unit (SIU)** **Location:** May be located in ... activity. + Prepares internal and external analyses and repots of investigative findings, trends, outcomes, and savings. + Establishes process for establishing… more
- Travelers Insurance Company (Louisville, KY)
- …and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + Identifies ... and refers claims with Major Case Unit exposure to the manager . + Performs...ability to convey and receive information effectively -Intermediate + Investigative skills - Intermediate + Ability to analyze and… more