- Capital One (Mclean, VA)
- AML Senior Investigator II- SIU **The Anti-Money Laundering (AML) Supervisor** **supervises various AML processes, which might include suspicious activity ... investigations , closing reviews, or other AML processes. The associate...managing the workflow of the AML analysis. The AML Investigator II coaches their team and teaches others about… more
- CVS Health (Charleston, WV)
- …day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or ... in identifying resources and best course of action on investigations + Serves as back up to the Team...years of working health care fraud, waste and abuse investigations ). **Anticipated Weekly Hours** 40 **Time Type** Full time… more
- Humana (Oklahoma City, OK)
- …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...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you will… more
- Centene Corporation (Frankfort, KY)
- …of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and measure ... parties to obtain refund + Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or… more
- Providence (Oakland, CA)
- **Description** ** Investigator External Audit Special Investigations Unit \*Remote The SIU Audit Investigator supports the compliance related ... activities of the Special Investigations Unit ( SIU ) at the...the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related… more
- Capital One (Mclean, VA)
- AML Sr Investigator II- SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized ... in the SIU and outside of the SIU when required, including senior management and...+ Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in… more
- Elevance Health (Indianapolis, IN)
- ** Investigator II - Payment Integrity SIU ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator II** will be responsible for the identification, investigation and… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Special Investigations Unit ( SIU ) Investigator is responsible to conduct timely and thorough health care fraud ... investigations on behalf of the Company. Investigations ... are confidential and are conducted in accordance with SIU Policies and Procedures, contractual obligation and in accordance… more
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