- Humana (Tallahassee, FL)
- …help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and ... years of relevant work experience in Fraud & Abuse Investigations required + At least 2 years of healthcare...required + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment… more
- CVS Health (Harrisburg, PA)
- …The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for ... medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company… more
- CVS Health (Salt Lake City, UT)
- …waste, abuse (FWA), and compliance violations. This position is embedded within the International Special Investigations Unit (ISIU) and is designed to lead ... with heart, each and every day. **Position Summary** The Senior Analyst, Investigations at Aetna International plays a pivotal role in safeguarding the organization… more
- CVS Health (Harrisburg, PA)
- …can be work from home anywhere in the United States. **Position Summary** The Special Investigations Unit (SIU) is looking for an analytically driven ... and reviewing incoming referrals and leads to determine if additional investigations are warranted. **Key Responsibilities** + Identify, research, analyze and… more
- Allied Universal (Provo, UT)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… more
- Command Investigations (Detroit, MI)
- … Investigations ) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator. SuperiorX ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
- Banco Popular Puerto Rico (San Juan, PR)
- …The Special Investigations Manager is responsible for overseeing the Special Investigations unit , which handles inquiries into customer claims, ... areas. + Foster a culture of integrity, accountability, and continuous improvement. Special Investigations & Audit Collaboration + Oversee investigations … more
- State of Minnesota (Minneapolis, MN)
- …programs. This position provides executive leadership and oversight of both the Special Investigations Unit (SIU), which investigates complex allegations ... Posted** : 11/17/2025 + **Closing Date** : 12/08/2025 + **Hiring Agency/Seniority Unit ** : Education Department / MDE-CO-Managerial + **Division/ Unit ** :… more
- RELX INC (Washington, DC)
- …production outcome as a subject matter expert on LexisNexis Risk Solutions within the Special Investigations Unit (SIU). This is a remote/ home-based ... Risk at the link below. https://risk.lexisnexis.com/government About the TeamThe Public Safety Special Investigative Unit (SIU) is comprised of former law… more
- Centene Corporation (Jefferson City, MO)
- …reporting of instances of potential fraud, waste and abuse no within scope of the Special Investigations Unit . + Prepare periodic reports and, as necessary, ... the continental United States. **Position Purpose:** The VP Corporate Compliance Investigations is responsible for the initial assessment of internal allegations and… more