- State of Massachusetts (Boston, MA)
- …seeking an experienced and dedicated individual to fill the role of Director for the Special Investigations Unit . In this role, the Director will be ... and monitoring all clinical and administrative operations of the Special Investigations Unit . This specialized...and regulations are known and practiced appropriately by all SIU staff. * Direct the monitoring and implementation of… more
- LA Care Health Plan (Los Angeles, CA)
- …Fraud, Waste and Abuse (FWA) is responsible for directing LA Care Health Plan's enterprise special investigations unit ( SIU ) and FWA program. The ... and motivating direct reports. Duties Leadership and Program Oversight: Lead LA Care's Special Investigations Unit ( SIU ) in overseeing the internal and… more
- CVS Health (Topeka, KS)
- …seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ), dedicated to a specific self-funded plan ... sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud,...abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud,… more
- USAA (Louisville, KY)
- …truly makes us special and impactful. **The Opportunity** As a dedicated **Manager, Special Investigations Unit for Property & Casualty** , you will be ... of investigative tools and techniques to guide and coach special investigators. + Proven ability to build and maintain...to demonstrate monthly productivity and cycle time outcomes from investigations assigned to the SIU team. +… more
- The Cigna Group (Bloomfield, CT)
- **Fraud Senior Advisor - Special Investigations Unit ( SIU ) Matter Resolution** Our organization is a leader in healthcare services, committed to ... of accountability and collaboration. **Position Overview** The Fraud Senior Advisor - Special Investigations Unit ( SIU ) Matter Resolution plays a… more
- The Robison Group (Brooklyn, NY)
- …writing, reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Supervisor - Special Investigations Unit Clinical Location: Hybrid | Eagan, Minnesota ... This position works under the direction of the Manager, Operational Risk Management ( SIU ). This position ensures SIU department objectives are being met… more
- CVS Health (Concord, NH)
- …day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit ( SIU ) to ensure compliance with ... review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Act as management back-up and supports the team when the… more
- City of New York (New York, NY)
- …and/or non-criminal, unique, highly confidential and sensitive investigations . The Special Investigation Unit ( SIU ) is responsible for investigating ... The New York City Department of Correction seeks to recruit Deputy Directors for the Special Investigation Unit ( SIU ). Under the direction of the Executive… 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