• SIU Investigator

    NTT DATA North America (Boston, MA)
    …strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( " SIU ) REMOTE EAST COAST The Investigator ... and work closely with other members of the SIU . Reviews are fast-paced and require the investigator...Qualifications: 1-3 year's related experience in health insurance fraud investigations , health insurance coding , provider relations, or… more
    NTT DATA North America (08/26/25)
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  • Special Investigation Unit Lead…

    CVS Health (Harrisburg, PA)
    …all with heart, each and every day. **Position Summary** **Position Summary** TThe SIU Investigator conducts investigations to effectively pursue the ... - Assists team in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law enforcement agencies in the… more
    CVS Health (08/20/25)
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  • Investigator , Special Investigative…

    Molina Healthcare (Lexington, KY)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
    Molina Healthcare (08/28/25)
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  • Clinical Investigator

    MVP Health Care (Rochester, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... a passion for problem solving and investigations , commitment to compliance and ethical standards and dedication...involving economic or insurance related matters. + A clinical investigator must have in addition to the above requirements:… more
    MVP Health Care (09/04/25)
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  • Analyst, Special Investigative Unit

    CVS Health (Hartford, CT)
    …- Exhibits behaviors outlined in Employee Competencies - Exhibits behaviors outlined in SIU Investigator Competencies - May include travel to testify in court ... flexible to work EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare… more
    CVS Health (08/20/25)
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