- 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
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Special Investigation Unit ...E Beltline - Grand Rapids Department Name PH - Special Investigations Unit Employment Type ... enforcement agencies, and other external stakeholders. Essential Functions - Manager Special Investigation Unit +...organization + Direct and oversee a broad range of investigations and audits related to FWA, including medical and… 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
- 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
- Iowa Department of Administrative Services (State Of Iowa, IA)
- …1 position is a self-starter. The position reports directly to the Adult & Special Services Unit Manager . The position requires occasional state-wide, ... Bureau as a Health Facilities Officer 1 for Adult Services within our Adult & Special Services Unit . Who We Are DIAL is a multifaceted regulatory agency charged… more
- City of New York (New York, NY)
- …Services Unit , Emergency Children's Services (ECS), and the Office of Special Investigations (OSI). Emergency Children's Services (ECS) is the after-hours ... of NYC Children's Services. ECS's child protective services staff conduct initial investigations of reported abuse and neglect cases after standard working hours,… more
- California Energy Commission (Sacramento, CA)
- Sector Modeling Unit Supervisor PROGRAM AND PROJECT SUPERVISOR, PUBLIC UTILITIES COMMISSION $12,196.00 - $15,266.00 per Month New to State candidates will be hired ... this position Under the general direction of the Branch Manager of the Demand Analysis Branch of Energy Assessments...and formulation activities including technical review and feedback to Unit staff on written work products. The incumbent leads,… more
- City of New York (New York, NY)
- …Units (FPP and FSU), Emergency Children's Services (ECS), and the Office of Special Investigations (OSI). DCP Protective/Diagnostic (PD) Units, within DCP, are ... immediately to protect the children. Under supervision of a Child Protective Manager , with wide latitude for independent judgement and decision-making, the Unit… more