- The Robison Group (Brooklyn, NY)
- …and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… 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 Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing… more
- USAA (Phoenix, AZ)
- …USAA is searching for a technically strong and proven leader to manage our SIU ( Special Investigations Unit ) Analytics and Digital Fraud Detection Team. The ... actions and decisions to carry out proactive claim's projects and investigations . + Reviews and evaluates investigation recommendations from investigators to ensure… more
- Geisinger (Danville, PA)
- …Responsible for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and ... by the enterprise. Job Duties + Provides leadership and strategic direction of Special Investigations and Program Integrity units spanning all lines of business.… more
- CVS Health (Olympia, WA)
- …with medical record review within a healthcare insurance company. - Prior special investigation unit experience. - Excellent analytical skills. - Excellent ... communication skills. **Education** - GED or equivalent - AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00 This pay… 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 ... with applicable state and federal regulation. **What You'll Do** + Conducts investigations in accordance with investigative action plan and documents all findings in… more
- CVS Health (Hartford, CT)
- …do it all with heart, each and every day. The **Senior RFI Analyst** within the Special Investigations Unit (SIU) plays a key role in supporting fraud, ... waste, and abuse investigations by managing and responding to Requests for Information...**Required Qualifications** + 5+ years of experience in healthcare investigations , compliance, or data analysis (or equivalent professional experience)… 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
- Allied Universal (Chesapeake, VA)
- …depending on the position and eligibility. **Job Description:** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… more
- Humana (Montpelier, VT)
- **Become a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of ... approach, resources, schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law… more
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