- 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....Qualifications:** + Current certification as an Accredited Healthcare Fraud Investigator (AHFI) upon hire. + Certification as an Internal… more
- The Robison Group (Brooklyn, NY)
- …is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team ... 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
- Humana (Indianapolis, IN)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities to increase Medicaid program… more
- CVS Health (CT)
- …flexible to work EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare ... agencies as required by law and regulation. **Fundamental Components:** - Conducts investigations of known or suspected acts of healthcare fraud, waste, and abuse… more
- Allied Universal (Chesapeake, VA)
- …and eligibility. **Job Description:** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… 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 ... Be Determined Street Address NYS DOCCS - Office of Special Investigations Multiple Locations - see additional...upon the needs of the Department and OSI. An Investigator is responsible for conducting investigations pertaining… more
- Molina Healthcare (Nampa, ID)
- **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
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator ( Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud ... Investigator ( Special Agent III) Salary $98,328.00 -...to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to preventing and… more
- Allied Universal (Tampa, FL)
- …and investigations with a carrier, third-party administrator and/or vendor contracted special investigations unit , plus one year conducting complex ... desired - 4 years of sustained performance as an investigator , police officer, or military investigations may...**OR** five (5) years of experience as a special investigator conducting insurance claim analysis… more
- Louisiana Department of State Civil Service (LA)
- Investigator / Special Agent 1-4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4951050) Apply Investigator / Special Agent 1-4 ... Justice, Office of Attorney General Liz Murrill, is seeking applications for an Investigator / Special Agent 1-4. As part of a Career Progression Group, vacancies… more