- Magellan Health Services (Boise, ID)
- …- EnterpriseEnterprise, LSSBB - Lean Six Sigma Black Belt Certification - EnterpriseEnterprise, RN - Registered Nurse , State and/or Compact State Licensure ... of Microsoft Excel, Access, Outlook, Word, and Power Point. General Job Information Title SIU Program Integrity Investigator - Remote (In Idaho) Grade 24 Work… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit ( SIU ) Investigator is to assist in the reduction and recuperation ... assigned by management to meet the needs of the Special Investigations Unit . **SUPERVISORY RESPONSIBILITY:**...such as Certified Fraud Examiner (CFE), Accredited Health Fraud Investigator (AHFI), RN /LPN, or Certified Professional Coder… more
- Elevance Health (Costa Mesa, CA)
- …law. **Position Overview:** Responsible for providing leadership and guidance to the Special Investigations Unit **Pharmacy** team in investigating, ... with the administration and operational activities occurring within the Special Investigations Unit for **pharmacy...research findings + Provides guidance to investigators and other SIU staff in the development of criminal and recovery… more
- MVP Health Care (Schenectady, NY)
- …limited to MD or RN . + New York State Nursing license required ( RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC ... investigation experience involving economic or insurance relatedmatters. + A clinical investigator must have in addition to the above requirements: A duly… more