- Blue KC (MO)
- …the company, including but not limited to Sales and Marketing, Job_Family_ID_Underwriting, PHP, Special investigations Unit (fraud and abuse), Legal, Product ... Development, and Provider Services. + Provides medical leadership and advice for conformance with standards and guidelines for NCQA, URAC, state and federal regulators, and other accrediting bodies. + Acts as liaison for communication with physicians,… more
- Blue KC (MO)
- …other areas within the company, including but not limited to Sales and Marketing, Special investigations Unit (fraud and abuse), Legal, Product Development, ... Compliance and Provider Services. + Provides medical leadership and advice for conformance with standards and guidelines for NCQA, URAC, state and federal regulators, and other accrediting bodies. + Acts as liaison for communication with physicians, hospitals,… more
- Centene Corporation (Indianapolis, IN)
- …Safeguard against the potential for fraud, waste and abuse and coordinate with, the Special Investigations Unit and state agencies to promptly investigate ... reports of, suspected fraud and abuse by employees, subcontractors, providers, and others with whom the health plan does business + Serve as the health plan's primary fraud, waste and abuse subject matter expert + Coordinate audit documentation, develop… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …agencies (eg APS/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit (SIU) or designated internal/external entity. + ... Communicates with all internal and external stakeholders to obtain the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members. + Adheres to all Corporate and Departmental policies and… more
- New York State Civil Service (Albany, NY)
- …and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or Protective Services Salary ... Grade NS Bargaining Unit M/C - Managerial/Confidential (Unrepresented) Salary Range From $71984...Be Determined Street Address NYS DOCCS - Office of Special Investigations Multiple Locations - see additional… more
- New York State Civil Service (New York, NY)
- …control, integrity control, records custody, and peace officer training;* Manages a special projects unit supervisor overseeing a team engaged in ... Title Deputy Director of Investigative Support, Insurance Frauds Bureau (Chief Investigations , NS) Occupational Category Other Professional Careers Salary Grade NS… more
- State of Colorado (CO)
- …from criminal and corrupt elements. What we do: The Gaming Enforcement unit provides crime investigations , identifies and interviews suspects, collects evidence, ... CRIMINAL INVESTIGATOR III - Background Investigations - Division of Gaming Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5074670) Apply … more
- State of Michigan (Detroit, MI)
- Regulation Specialist 13 - Criminal Investigations Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5063231) Apply Regulation Specialist 13 - ... Criminal Investigations Salary $31.06 - $46.36 Hourly Location Detroit, MI...Date 09/02/2025 Closing Date 9/16/2025 11:59 PM Eastern Bargaining Unit NON-EXCLUSIVE REPRESENTED EMPLOYEE (NERE) + Description + Benefits… more
- Office of the Inspector General for Tax Administration (Washington, DC)
- …of the Treasury Inspector General for Tax Administration's (TIGTA) Office of Investigations is to protect the Internal Revenue Service from internal and external ... Admin, Office of Investigation. As an Assistant Inspector General For Investigations (Investigative Operations), you will serve as the Assistant Inspector General… more
- New York State Civil Service (New York, NY)
- … Unit , Civil Enforcement Division - New York City Special Assistant Attorney General Reference No. MFCU/CED_NYC_SAAG_3820Application Deadline is October 10, ... actions and criminal proceedings, including asset forfeiture actions. Many of the unit 's investigations are conducted in coordination with other federal, state,… more