- CVS Health (Lansing, MI)
- …Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... Qualifications:** + A minimum of 2 years of managing staff within a Special Investigation Unit (SIU). + Excellent analytical skills and the ability to… more
- CVS Health (Lansing, MI)
- …experience with medical record review within a healthcare insurance company. - Prior special investigation unit experience. - Excellent analytical skills. - ... Excellent communication skills. **Education** - GED or equivalent - AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00… more
- Corewell Health (Grand Rapids, MI)
- …SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name PH - Special Investigations Unit Employment Type Full time Shift Day (United States ... Job Summary Performs activities related to the detection and investigation of fraud and abuse within Priority Health. Utilizes knowledge/expertise of health care… more
- CVS Health (Lansing, MI)
- …Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special Investigations Unit . In this role, you will ... fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse.… more
- State of Michigan (Lansing, MI)
- Student Assistant - FSB / Special Operations Division / Aviation Maintenance-Sub Unit Print ... (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5038798) Apply Student Assistant - FSB / Special Operations Division / Aviation Maintenance-Sub Unit … more
- City of Detroit (Detroit, MI)
- …Staff Job Number 20241929102PLDM Department Law Opening Date 08/05/2025 Bargaining Unit 9801-Administrative Special Service-Non-Exempt + Description + Benefits + ... Legal Assistant/Paralegal (Temporary Administrative Special Services) Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/5032742) Apply Legal Assistant/Paralegal… 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
- Elevance Health (Dearborn, MI)
- …coding and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of ... for loss control and risk avoidance based on the outcome of the investigation . + Assists with training of new associates. **Minimum Requirements** + Requires a… more
- State of Michigan (Jackson, MI)
- …E10, Corrections Security Representative E10, Corrections Transportation Officer E10, Resident Unit Officer E10, or Special Alternative Incarceration Officer ... E10, Corrections Security Representative E10, Corrections Transportation Officer E10, Resident Unit Officer E10, or Special Alternative Incarceration Officer… more