- AmeriHealth Caritas (Newtown Square, PA)
- …Under direct supervision of the Director, SIU the Pharmacy Manager in the Special Investigations Unit (SIU) will lead efforts to detect, investigate and ... adherence to legal standards while minimizing risks to the organization. ; The manager must have the ability to determine correct coding, review claims, medical… more
- Humana (Juneau, AK)
- **Become a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of ... approach, resources, schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with… more
- CVS Health (Bismarck, ND)
- …Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through ... medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in...minimum of 2 years of managing staff within a Special Investigation Unit (SIU). + Excellent analytical… more
- Molina Healthcare (Covington, KY)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU ... referral intake and investigation process while giving guidance and direction to team on case investigation steps and actions. + Works with leadership to maintain and revise policies and procedures, fraud, waste, and abuse plans, annual audit work plans,… more
- Bureau of Land Management (Winnemucca, NV)
- …announcement if they become available. Responsibilities Responsible for the unit 's Aviation Program to include oversight, budget planning, development, execution, ... multi-agency emergency incidents, mutual aid responses, military operations/coordination. Develops Unit Aviation Plans, manuals, handbooks, and instructional materials and… more
- State of Colorado (Denver, CO)
- …The Criminal Justice Section is seeking an experienced investigator to join the Special Prosecutions Unit . In this role, you'll investigate allegations of ... other crimes appropriate for investigation and prosecution by the Special Prosecutions Unit . As such, this position...partner with and assist any law enforcement agency with investigations and enforcement of laws related to all crimes… more
- Mohawk Valley Health System (Utica, NY)
- Assistant Unit Manager - RNC - Full Time - Days Department: CLARK NORTH Job Summary The Clinical Nurse Coordinator (CNC) - RNC is a dynamic role that ensures and ... completion of assigned tasks for nursing team on the unit in collaboration with the Nurse Manager ....when indicated or assigned. + Coordinates labs, appointments, and special instructions for all patients. + Notifies physician of… more
- CVS Health (Charleston, WV)
- …Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the following States: **Texas, ... Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by...years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance… more
- Louisiana Department of State Civil Service (LA)
- Investigator/ Special Agent 1-4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4951050) Apply Investigator/ Special Agent 1-4 Salary ... Justice, Office of Attorney General Liz Murrill, is seeking applications for an Investigator/ Special Agent 1-4. As part of a Career Progression Group, vacancies may… more
- Municipality of Anchorage (Anchorage, AK)
- BENEFITS ADMINISTRATOR ( Special Administrative Assistant II) - Range 22 / EXE Print (https://www.governmentjobs.com/careers/moa/jobs/newprint/5029617) Apply ... BENEFITS ADMINISTRATOR ( Special Administrative Assistant II) - Range 22 / EXE...to vendors. Monitor applicable Municipal funds. Act as project manager for SAP design changes, Requests for Change (RFC),… more