- Molina Healthcare (Idaho Falls, ID)
- **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
- AmeriHealth Caritas (Newtown Square, PA)
- …OVERVIEW** Under direct supervision of the Director, SIU the Pharmacy Manager in the Special Investigations Unit ( SIU ) will lead efforts to detect, ... The manager must have the ability to determine correct coding , review claims, medical records and billing data from...trends and schemes.; **WORK ARRANGEMENT** This position is a remote eligible position working East Coast hours. ;Quarterly travel… more