- CVS Health (Salt Lake City, UT)
- …an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ), dedicated to a specific self-funded plan ... sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud,...abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud,… more
- Allied Universal (Provo, UT)
- …career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special Investigations ... agency for prosecution. + **Will** **require** **Claims and Surveillance investigations as needed to ensure a full schedule** +...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Molina Healthcare (Provo, UT)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- Molina Healthcare (Orem, UT)
- **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 ... on daily investigative activities as a back-up to the SIU Manager. This position will be accountable for tracking...Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- Molina Healthcare (Provo, UT)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations + Thorough knowledge of PC based software including Microsoft Word (edit/save… more
- The Robison Group (Salt Lake City, UT)
- I ndividuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance ... We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment,...be willing and able to obtain a Utah Private Investigator license. + Self-motivated, determined, and intuitive. + Strong… more