- State of Massachusetts (Boston, MA)
- …highly organized, mission-driven individual to fill the role of Area Program Manager (APM) for the Special Investigations Unit ( SIU ). The Special ... The Area Program Manager is a member of the SIU senior management team, is involved with all aspects...of Children & Families* **Title:** *Area Program Manager - Special Investigations Unit * **Location:** *Massachusetts-Boston-600… more
- Capital One (Richmond, VA)
- …United States of America, Richmond, Virginia Anti-Money Laundering Subject Matter Expert (SME) - Special Investigations Unit ( SIU ) The Complex ... certification + At least 2 years of Anti-Money Laundering experience within the Special Investigations Unit Preferred Qualifications: + Bachelor's Degree +… more
- The Robison Group (Queens, NY)
- …searches, and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Position Title: Special Investigations Unit Administrative Assistant Department: Audit ... and Compliance Title of Manager: Special Investigations Unit Manager Supervision: Non-supervisory position Employment Status: Temporary - Non Exempt Pay and… more
- CVS Health (Hartford, CT)
- …fraud plans and reporting.- Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by both members and providers.- ... match current skills and development needs.- Assesses training needs and works with SIU Director on development plans for team members.- Develops and maintains close… more
- CVS Health (Springfield, IL)
- …Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... in identifying resources and best course of action on investigations * Serves as back up to the Team...years of working health care fraud, waste and abuse investigations . Pay Range The typical pay range for this… more
- CVS Health (Frankfort, KY)
- …AAPC Coding certification - 3+ years of experience in medical coding or documentation auditing.- 2 years or more previous experience with Behavioral Health ... coding/auditing of records- Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements- Experience with researching coding and policies.- Experience with Microsoft Excel - Strong attention… more
- Allied Universal (Bossier City, LA)
- …more for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim ...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Point32Health (Canton, MA)
- …seeking highly motivated individuals 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… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... accurately in Fraud, Waste and Abuse case management system. Monitor and notify SIU associates on dollar recovery and Corrective Action Plan status. + Pursues low… 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 ... ensure the PE'd individual is not present in the unit . The visits are documented in the Law Department's...general supervision, with latitude for independent initiative and judgment, SIU Team members conduct professional investigations of… more
- RELX INC (Denver, CO)
- …as a subject matter expert on LexisNexis and Accurint TraX (ZetX) solutions within the Special Investigations Unit ( SIU ). The Public Safety SIU ... the link below. https://risk.lexisnexis.com/government About our Team The LexisNexis(R) Public Safety Special Investigations Unit is comprised of former… more
- Molina Healthcare (Omaha, NE)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions… more
- Premera Blue Cross (Spokane, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com . As a member of Premera's Special Investigations Unit ( SIU ), the **Investigator ... initiate, analyze, develop, and successfully complete and resolve fraud investigations of medium to high level complexity. You will...+ (3) years of experience in fraud investigation, a special investigation unit , or a related field.… more
- Idaho Division of Human Resources (Boise, ID)
- …or Department operations. The position reports directly to the Chief Investigator of the IDOC Special Investigations Unit ( SIU ). This position is located ... Investigator to plan, organize, and conduct administrative or criminal investigations involving incarcerated individuals, staff, and private citizens that may… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more
- Health First (Rockledge, FL)
- …Program. 8. Establish and maintain key relationships with Operations, Legal Counsel, Privacy, Special Investigations Unit ( SIU ), and the Corporate ... Health First Code of Ethics and Business Conduct document. 12. Oversee investigations for any incoming compliance complaints of potential noncompliance. Work with … more
- Universal Health Services (Reno, NV)
- …enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Special Investigations Unit is responsible for investigating ... other investigators. Responsible for conducting compliance audits, risk assessments, investigations , education relating to billing, coding, reimbursement, and documentations.… more
- Magellan Health Services (California City, CA)
- …the local compliance committee meetings. + Coordinates activities with the Internal Audit and Special Investigations Unit ( SIU ) on compliance matters ... reports to the Quality Improvement Committee (QIC), Compliance Committee, Business Unit Manager, and the corporate Compliance Department as appropriate. + Maintains… more
- System One (Baltimore, MD)
- …Investigator 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, and other tools to proactively identify new potential cases. Pay: $32/HR Location: Baltimore, MD (Hybrid) twice a week Job Duties: + Research… more