- UPMC (Pittsburgh, PA)
- … highly preferred. Under the direction of the manager , the Special Investigations Unit (SIU) Investigator is responsible for investigating ... making healthcare oversight referrals. - Plan, organize and execute dental investigations or dental audits utilizing document review, witness interviews, and data… more
- The Hartford (VA)
- …shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This position will be based out of the ... the candidate will investigate all lines of business to include Medical Investigations in Auto, Worker's Compensation, General Liability and Group Benefits as well… more
- City of New York (New York, NY)
- …enforcing child support orders. Within the OCSS Division of Enforcement Operations, the Special Investigations Unit (SIU) is responsible for obtaining child ... denial, property executions against any financial institutions, and garnishment of wages. Special Investigations is charged with locating absent parents and… more
- Huntington National Bank (Akron, OH)
- Description The Fraud Investigations & QA/QC CoE Program Manager will support the execution of strategic initiatives across the Fraud Investigations and ... priorities. Duties & Responsibilities + Program Leadership: Collaborate with Fraud Investigations and QA/QC Center of Excellence leadership in the planning,… more
- Army National Guard Units (Carson City, NV)
- …in effecting a resolution for an IG complaint or IGAR. Conducts recurring/ special investigations /inquiries, analyses, and studies as required. Special ... Summary This position is for a INVESTIGATIONS AND INQUIRIES SPECIALIST, PD# D1165P01, part of... and prepare reports or briefings on findings. Provides unit training and guidance to command and personnel on… more
- Molina Healthcare (Louisville, KY)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU ... to the coordination, management, and oversight of the Contractor's Program Integrity unit to reduce Fraud, Waste, and Abuse of Medicaid services within Kentucky… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... practices. The Manager , Fraud and Waste works within specific guidelines and...resources, schedules and goals. **Where You Come In** The Manager , Fraud and Waste coordinates investigation with law enforcement… more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on.... This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- University of Colorado (Aurora, CO)
- **Business Services Program Manager Special Projects Manager ** **Description** **University of Colorado Anschutz Medical Campus** **Department: ... Ophthalmology** **Job Title: Business Services Program Manager - Special Projects Manager **...working with faculty and managing a research or business unit **Preferred Qualifications:** + 5 years of professional level… more
- State of Colorado (Denver, CO)
- …by CATPA. The Criminal Justice Section is seeking an experienced investigator to join the Special Prosecutions Unit . This position will serve as the unit 's ... partner with and assist any law enforcement agency with investigations and enforcement of laws related to all crimes...remotely and in office. Flexible work arrangements for the Special Prosecutions Unit requires that the successful… more