- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse ... Exercised:** No **What You'll Be Doing:** + Plan, organize, and execute investigations or audits utilizing document review, witness interviews and data analysis to… more
- Commonwealth Care Alliance (Boston, MA)
- … Associate is an integral part of the Fraud, Waste & Abuse ( FWA ) Special Investigation Unit ( SIU ). The position reports directly to the Sr. Director, ... providers, and other CCA departments related to review processes and results. Sr Associate , FWA Investigator Coder utilizes claim analysis, document review,… more
- Molina Healthcare (Omaha, NE)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... FWA and/or may determine appropriateness of care. The SIU Investigator is also responsible for recognizing...corroborated by evidence. + Conducts both preliminary assessments of FWA allegations, and end to end full investigations… more