- City of New York (New York, NY)
- Job Description Working alongside the Department of Investigation, the Buildings Special Investigations Unit (BSIU) investigates allegations of misconduct ... with the Department. Working to ensure the integrity of all transactions, the unit generates cases from complaints and initiates the appropriate course of action… more
- The Robison Group (Brooklyn, NY)
- …and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will ... 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
- CVS Health (Albany, NY)
- …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 This pay… more
- CVS Health (Albany, NY)
- …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
- CVS Health (Albany, NY)
- …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 mentor and… more
- MTA (Brooklyn, NY)
- …Open until till filled. Authority: TA/OA/MTA Bus Department: Office of the President Division/ Unit : Special Investigations & Review Reports to: Chief ... Assistant Chief Officer- Special Investigations and Review Job ID: 12205 Business Unit : New York City Transit Location: Brooklyn, NY, United States… more
- Allied Universal (Batavia, NY)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & ... Marketing. + Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …agencies (eg APS/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit (SIU) or designated internal/external entity. + ... Communicates with all internal and external stakeholders to obtain the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members. + Adheres to all Corporate and Departmental policies and… more
- New York State Civil Service (Albany, NY)
- …and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or Protective Services Salary ... Grade NS Bargaining Unit M/C - Managerial/Confidential (Unrepresented) Salary Range From $71984...Be Determined Street Address NYS DOCCS - Office of Special Investigations Multiple Locations - see additional… more