- USAA (Plano, TX)
- …makes us special and impactful. **The Opportunity** We are seeking a dedicated Director Special Investigations Unit - Specialty (Major Case) This ... of insurance policies and broad understanding of procedures related to SIU investigations . + Capability to analyze data, conduct root causes analysis, identify… more
- CVS Health (Austin, TX)
- …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ( SIU ) to ensure compliance with ... contact for the team in the absence of the director , ensuring continuity of operations and support. + Develop...minimum of 2 years of managing staff within a Special Investigation Unit ( SIU ). +… more
- Molina Healthcare (Houston, TX)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **Knowledge/Skills/Abilities** * Responsible for oversight and management of ... AVP of Compliance or the AVP of the Corporate SIU an active relationship with third parties who have...who have specific experience in conducting fraud and abuse investigations . * Prepares written reports to inform the AVP… more
- CVS Health (Austin, TX)
- …to match current skills and development needs. Assesses training needs and works with SIU Director on development plans for team members. Develops and maintains ... Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the following States: **Texas,… more