- CVS Health (Topeka, KS)
- …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 Responsibilities**… more
- The Robison Group (Brooklyn, NY)
- …is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team ... 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
- Humana (Dayton, OH)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... Department of Medicaid (ODM) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase… more
- Humana (Tallahassee, FL)
- …help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and ... years of relevant work experience in Fraud & Abuse Investigations required + At least 2 years of healthcare...required + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment… more
- Allied Universal (Provo, UT)
- …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
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category ... Be Determined Street Address NYS DOCCS - Office of Special Investigations Multiple Locations - see additional...upon the needs of the Department and OSI. An Investigator is responsible for conducting investigations pertaining… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- State of Colorado (Denver, CO)
- …Justice Section is seeking an experienced investigator to join the Special Prosecutions Unit . In this role, you'll investigate allegations of criminal ... Special Prosecutions Investigator ( Special ...other crimes appropriate for investigation and prosecution by the Special Prosecutions Unit . As such, this position… more
- State of Colorado (Denver, CO)
- Financial Fraud Investigator ( Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5155250) Apply Financial Fraud ... Investigator ( Special Agent III) Salary $98,328.00 -...the Office of the Attorney General! The Financial Fraud Unit within the Colorado Department of Law (DOL) is… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... or 5+ years of experience working in a FWA / SIU or Fraud investigations + Thorough knowledge of PC based software including Microsoft Word (edit/save documents) and… more