- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Molina Healthcare (Rochester, NY)
- …responsible to lead a small team of investigators and provide oversight on daily investigative activities as a back-up to the SIU Manager. This position will be ... complete and signed-off + Provide guidance to investigators as needed on investigative techniques, tools, or strategy. + Effectively investigate and manage complex… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... providers. This position uses information from a tip, member benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely turn around. This position… more
- The Robison Group (Brooklyn, NY)
- …This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible ... Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Corrections and Community Supervision, Department of Title Investigator - Office of Special Investigations Occupational Category Enforcement or ... by the Assistant Deputy Chief Investigator and Deputy Chief Investigator . The minimum qualifications include two years' investigative , law enforcement,… more
- CVS Health (Albany, NY)
- …are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a specific self-funded plan ... evidence in support of case investigations. **Required Qualifications** + 3-5 years investigative experience in the area of healthcare fraud, waste and abuse. +… more
- New York State Civil Service (Syracuse, NY)
- …NY Zip Code 13203 Duties Description Under the direction of a Senior Investigator , within the Compliance/Enforcement Unit , the position will conduct field visits ... / predicting likely outcome of contemplated actions; refining and improving investigative techniques.* Attend all agency/ unit -required meetings and training… more
- New York State Civil Service (Albany, NY)
- …No Agency Corrections and Community Supervision, Department of Title Senior Investigator - All Divisions Occupational Category Enforcement or Protective Services ... Salary Grade NS Bargaining Unit M/C - Managerial/Confidential (Unrepresented) Salary Range From $82543...Code 12226 Duties Description The NYS DOCCS Office of Special Investigations (OSI) is seeking qualified candidates for consideration… more
- New York State Civil Service (Clinton, NY)
- …to DOCCS that is not covered by another OSI division. PID has two dedicated units, the Special Victims Unit (SVU) and Major Case Unit (MCU), to handle sexual ... and Community Supervision, Department of Title Assistant Deputy Chief Investigator - Public Integrity Division Occupational Category Enforcement or Protective… more
- City of New York (New York, NY)
- …or Task Force Officer, with a minimum of 1- 2 years experience in that special investigative assignment. - Flexibility for domestic or overseas travel. - Have ... Office (DANY) has an opening for a Senior Rackets Investigator in its Investigation Bureau. In this position, under...limited to: - Conducting, managing, and updating ongoing criminal investigative caseloads with a focus on, but not limited… more