- Humana (Lansing, MI)
- …and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ... goals. **Where You Come In** The Manager, Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support… more
- Command Investigations (Detroit, MI)
- … Investigations ) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator. SuperiorX ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
- Elevance Health (Dearborn, MI)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Humana (Lansing, MI)
- …Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit . Do you enjoy speaking with members, ... opportunity to join Humana's SIU. The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste… more
- CVS Health (Lansing, MI)
- …We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- Highmark Health (Lansing, MI)
- …and/or template. + Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which ... can be used to educate/train internal staff, streamline, and improve processes and update documentation. + Assists leadership with performing client performance evaluations to assess the accuracy of client reports submitted to the organization, efficiency of… more
- Highmark Health (Lansing, MI)
- …billing practices and intervene for resolution and education or if necessary involve Special Investigation Unit or the Utilization Management area. ... **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and retrospective review processes that are consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in… more
- State of Michigan (Ionia, MI)
- Special Education Teacher P11 - IBC Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5166109) Apply Special Education Teacher P11 - IBC ... Bellamy Creek Correctional Facility Opening Date 12/10/2025 Closing Date Continuous Bargaining Unit UNITED AUTO WORKERS (UAW) + Description + Benefits + Questions… more
- State of Michigan (New Haven, MI)
- Special Education Teacher-MRF Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4312825) Apply Special Education Teacher-MRF Salary $28.88 - ... - Macomb Correctional Facility Opening Date 11/20/2024 Closing Date Continuous Bargaining Unit UNITED AUTO WORKERS (UAW) + Description + Benefits + Questions Job… more
- State of Michigan (Lansing, MI)
- Departmental Supervisor 11 - Quality Assurance Unit Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5182182) Apply Departmental Supervisor 11 ... - Quality Assurance Unit Salary $2,221.60 - $3,240.80 Biweekly Location Lansing, MI...a United States Citizen and pass a thorough background investigation to comply with Public Act 7 of 2008,… more