- CVS Health (Albany, NY)
- …Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a specific ... self-funded plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key… 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)
- …The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding ... practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must… more
- City of New York (New York, NY)
- …responsible for directing criminal and/or non-criminal, unique, highly confidential and sensitive investigations . The Special Investigation Unit (SIU) is ... investigators, engaged in the performance of confidential, highly complex, and/or special investigations involving surveillances, interrogation of subjects and… more
- CVS Health (Albany, NY)
- …The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for ... medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company… more
- CVS Health (Albany, NY)
- …waste, abuse (FWA), and compliance violations. This position is embedded within the International Special Investigations Unit (ISIU) and is designed to lead ... with heart, each and every day. **Position Summary** The Senior Analyst, Investigations at Aetna International plays a pivotal role in safeguarding the organization… more
- CVS Health (Albany, NY)
- …can be work from home anywhere in the United States. **Position Summary** The Special Investigations Unit (SIU) is looking for an analytically driven ... and reviewing incoming referrals and leads to determine if additional investigations are warranted. **Key Responsibilities** + Identify, research, analyze and… more
- Allied Universal (Batavia, NY)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… more
- Capital One (Jericho, NY)
- AML Sr Investigator II-SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations to ... of ideas + Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in a leadership capacity… more
- MTA (New York, NY)
- …the development of routine quality assurance evaluations in collaboration with Security Special Investigations unit (s), MTA Legal, Labor relations, the ... Director, Quality Assurance Job ID: 13522 Business Unit : MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: HQ Office of… more