- Prime Therapeutics (Raleigh, NC)
- …a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Special Investigations Unit ( SIU ) Investigator - Remote **Job ... Description** The Special Investigations Unit ( SIU ) Investigator is responsible for conducting standard investigations of potential pharmacy, member,… more
- CVS Health (Raleigh, NC)
- …seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ), dedicated to a specific self-funded plan ... sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud,...abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud,… more
- CVS Health (Raleigh, NC)
- …position can be work from home anywhere in the United States. **Position Summary** The Special Investigations Unit ( SIU ) is looking for an analytically ... and reviewing incoming referrals and leads to determine if additional investigations are warranted. **Key Responsibilities** + Identify, research, analyze and… more
- USAA (Charlotte, NC)
- …+ Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit ( SIU ) referrals, when appropriate. + ... Agent (Army MOS 31D or Marine Corps 5821), Air Force Office of Special Investigations (OSI) Agent (Air Force Enlisted Code 7S), or in a Military Police (MP)… more
- CVS Health (Raleigh, NC)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more