• Investigator , Special Investigative…

    Molina Healthcare (Nampa, ID)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...federal contracts and/or regulations. + Conducts both on-site and desk top investigations . + Conducts low to… more
    Molina Healthcare (09/22/25)
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  • Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …OMIG's minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or experience, which shall ... substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure...criminal justice or related field; or employment as an investigator in the SIU on or before… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Field Investigator - Macp/ACP/OOP

    Command Investigations (Detroit, MI)
    …) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator . SuperiorX Investigations ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
    Command Investigations (07/18/25)
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