- CVS Health (Hartford, CT)
- …are seeking a skilled and proactive **QuickBase Developer** to support the Special Investigations Unit (SIU) by designing, developing, and maintaining QuickBase ... solutions + Develop dashboards, reports, and automation to support investigations , compliance, and performance monitoring + Troubleshoot and resolve application… more
- Zurich NA (Overland Park, KS)
- …+ Participate in National Insurance Crime Bureau (NICB) and International Association of Special Investigations Unit (IASIU) meetings to stay informed on the ... for potential fraud indicators and recommend cases for referral to ZCIS investigations . + Partner with investigators to collect additional insights, utilizing social… more
- NTT DATA North America (Boston, MA)
- …overall sourcing strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( "SIU ) REMOTE EAST COAST The Investigator ... reviews Qualifications: 1-3 year's related experience in health insurance fraud investigations , health insurance coding, provider relations, or another similar role… more
- Centene Corporation (Frankfort, KY)
- …of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and measure ... parties to obtain refund + Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or… more
- Gwinnett County Public Schools (Suwanee, GA)
- …for action(s) and follow up measures.6. Perform and/or provide supervision in special reviews and investigations as warranted. a. Coordinate necessary audit ... and review steps for special audits, reviews, and investigations .b. Maintain time records for each assignment.c. Coordinate investigations with appropriate… more
- Synchrony (Stamford, CT)
- …of new clients and production. + Collaborate with authentication, fraud operations, special investigations , enterprise fraud team, and client / other teams ... and evolving fraud protection mechanisms. + Perform other duties and/or special projects as assigned ** ** **Qualifications/Requirements:** + Bachelor's degree and… more
- New York State Civil Service (Lansing, NY)
- …implementation of facility policies and procedures related to nursing.Initiate special investigations ; scheduling staff; directing staff.Teach appropriate ... List (SEL) maintained by the Justice Center for the Protection of People with Special Needs. Prospective employees whose names appear on the SEL as having been found… more
- State of Massachusetts (Boston, MA)
- …others with insurance laws, rules, regulations and administrative bulletins (ie, referral to Special Investigations Unit). * Participate on special projects ... on the basis of the proportion of the requirements actually completed. Special Requirements: Based on assignment, possession of a current and valid Massachusetts… more
- Southern Company (Birmingham, AL)
- …of the Corporate Security Department. This includes assisting with all related investigations , special projects, security training, physical security surveys and ... + Conduct and assist with different types of internal and external investigations . + Obtain criminal warrants and successfully prosecute offenders. + Testify in… more
- Crowley Maritime Corporation (Jacksonville, FL)
- …instructed by the Director of Internal Audit. These projects may involve special review, investigations , data analysis, designing processes, preparing flowcharts ... standards. Knowledge of and the ability to conduct audits and investigations according to the International Professional Practices Framework (IPPF) as well… more