- CVS Health (Springfield, IL)
- …health care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or ... Investigators. Assists Investigators in identifying resources and best course of action on investigations * Serves as back up to the Team Leader as necessary In… more
- Allied Universal (Detroit, MI)
- …most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... and case managers, by means of data collection, interviews, research and collaboration with other SIU entities,...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Point32Health (Canton, MA)
- …to join our organization as a nInvestigator within our Special Investigations Unit (" SIU "). The Investigator is an essential team member of the ... SIU , responsible for leading complex provider investigations related to fraud, waste and abuse, and developing action plans to address the investigative findings… more
- Molina Healthcare (Omaha, NE)
- **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
- Allied Universal (Knoxville, TN)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... clients and case managers through various methods such as data collection, interviews, research , and scene investigations + Follow guidance from the handling… more
- 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 investigation ... Exercised:** No **What You'll Be Doing:** + Plan, organize, and execute investigations or audits utilizing document review, witness interviews and data analysis to… more
- CVS Health (Baton Rouge, LA)
- …make health care more personal, convenient and affordable. Position SummaryAs a Senior Investigator you will conduct high level, complex investigations of known ... in identifying resources and best course of action on investigations - Serves as back up to the Team Leader...know how to do pivot tables).- Strong analytical and research skills. - Proficient in researching information and identifying… more
- CVS Health (Tallahassee, FL)
- …regulations mandating fraud plans. Fundamental Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud and abuse. - ... in identifying resources and best course of action on investigations . - Serves as back up to the Team...evaluate medical related claims . - Strong analytical and research skills. - Proficient in researching information and identifying… more
- CVS Health (Richmond, VA)
- …Services- 3 years in healthcare field working in fraud, waste and abuse investigations and audits.- Strong analytical and research skills.- Proficient in ... of Virginia. Must be willing to work EDT schedule. - Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... assess financial impact of potential cases. + Proactively conduct research and analysis support for the department and to...Waste and Abuse case management system. Monitor and notify SIU associates on dollar recovery and Corrective Action Plan… more
- City of New York (New York, NY)
- Job Description The Special Investigations Unit ( SIU ) of the Law Department conducts Investigations . In-House investigations include, but are not ... action. Under general supervision, with latitude for independent initiative and judgment, SIU Team members conduct professional investigations of varying degrees… more
- System One (Baltimore, MD)
- … to support a leading health insurance customer. The individual will work with the Special Investigations Unit ( SIU ) to assist in the reduction ... and recuperation of losses. You will research and analyze data using company anti-fraud software, Excel,...Baltimore, MD (Hybrid) twice a week Job Duties: + Research provider/subscriber claims activity, operations manuals, data systems, medical… more
- AmeriHealth Caritas (Washington, DC)
- ** Special Investigator Managed Care - DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations … more
- MyFlorida (Tallahassee, FL)
- …of this unit . In addition, the incumbent provides support and assistance to the Special Investigations Unit as needed, and may be assigned special ... correspondence, case records and assignments. + Assist the Bureau Chief and Investigator Supervisor with recruitment for the bureau to fill vacant positions and… more
- CVS Health (Hartford, CT)
- …- Exhibits behaviors outlined in Employee Competencies - Exhibits behaviors outlined in SIU Investigator Competencies - May include travel to testify in court ... flexible to work EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare… more