- Humana (Dayton, OH)
- …Department of Medicaid (ODM) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase ... to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues + Work with the Contract Compliance… more
- 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)
- …position can be work from home anywhere in the United States. **Position Summary** The Special Investigations Unit ( SIU ) is looking for an analytically ... and reviewing incoming referrals and leads to determine if additional investigations are warranted. **Key Responsibilities** + Identify, research, analyze and… 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
- Allied Universal (Provo, UT)
- …best, explore a career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... agency for prosecution. + **Will** **require** **Claims and Surveillance investigations as needed to ensure a full schedule** +...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Capital One (New Orleans, LA)
- AML Sr Investigator II- SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations ... (SME)** will work closely with key stakeholders in the SIU and outside of the SIU when...+ Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in… more
- State of Minnesota (Minneapolis, MN)
- …MDE-administered programs. This position provides executive leadership and oversight of both the Special Investigations Unit ( SIU ), which investigates ... students and families. Duties will include: * Provide strategic oversight of SIU and SMP investigations , including reviewing findings, identifying trends, and… 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
- RELX INC (Washington, DC)
- …and 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… 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