- CVS Health (Sacramento, CA)
- …compassionate. And we do it all with heart, each and every day. Medical Director - SIU ( Special Investigations Unit ) CVS Health - Special ... from home role.** Key Responsibilities: The Special Investigations Unit ( SIU ) Medical Director will be responsible for performing reviews of medical… more
- USAA (Plano, TX)
- …makes us special and impactful. **The Opportunity** We are seeking a dedicated Director Special Investigations Unit - Specialty (Major Case) This ... of insurance policies and broad understanding of procedures related to SIU investigations . + Capability to analyze data, conduct root causes analysis, identify… more
- CVS Health (Bismarck, ND)
- …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ( SIU ) to ensure compliance with ... contact for the team in the absence of the director , ensuring continuity of operations and support. + Develop...minimum of 2 years of managing staff within a Special Investigation Unit ( SIU ). +… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to ... the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving...program transparency and accountability. You will report to the SIU Director and work closely with Humana's… more
- Molina Healthcare (Boston, MA)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **Knowledge/Skills/Abilities** * Responsible for oversight and management of ... AVP of Compliance or the AVP of the Corporate SIU an active relationship with third parties who have...who have specific experience in conducting fraud and abuse investigations . * Prepares written reports to inform the AVP… more
- TD Bank (New York, NY)
- …framework across trade and communications monitoring. The incumbent will report to the Director of Surveillance Quality Assurance and will be part of the broader ... Surveillance Intelligence Unit , comprised of the Surveillance Data Quality Team, Surveillance...Quantitative Analysis Team, and Surveillance Quality Assurance Team. The SIU in turn reports to the Global Head of… more
- CVS Health (Charleston, WV)
- …to match current skills and development needs. Assesses training needs and works with SIU Director on development plans for team members. Develops and maintains ... Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the following States: **Texas,… more