- Providence (WA)
- **Description** ** Investigator External Audit Special Investigations Unit ( SIU )** **_Remote._** The SIU Audit Investigator supports the ... compliance related activities of the Special Investigations Unit ( SIU ) at the...we must empower them. **_Providence Health Plan welcomes 100% remote work for applicants who reside in the following… more
- Molina Healthcare (NE)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- Molina Healthcare (NM)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...Services, Member Services, Claims) to gather documentation pertinent to investigations . * Detect potential health care fraud, waste, and… more
- Centene Corporation (Harrisburg, PA)
- …Purpose:** Position acts as a subject matter expert in the field of Compliance and/or Special Investigations Unit ( SIU ) investigations . Provides ... while meeting all regulatory, CMS, and WellCare Corporate guidelines in which special care is required to protect and enhance WellCare's reputation. + Works… more