- CVS Health (Columbia, SC)
- …seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role ... manipulate, and analyze large healthcare datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and… more
- CVS Health (Salem, OR)
- …Word, Excel, Outlook, SharePoint, QuickBase Management and Visio as well as experience with data analysis tools. + Strong analytical skills and the ability to ... the quality and integrity of healthcare fraud and abuse investigations . This role involves overseeing the training and development...needs. + Assess training needs and collaborate with the SIU Sr. Manager to create development plans… more
- Elevance Health (Atlanta, GA)
- …**INVESTIGATOR LEAD** is responsible for providing leadership and guidance to the Special Investigations Unit team in investigating, collecting, researching ... with the administration and operational activities occurring within the Special Investigations Unit for Pharmacy...of appropriate system tools, provides training for and conducts analysis of data to detect fraudulent, abusive… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... defined populations served, referred to the department, either by data analysis or by internal or external...staff, members, and providers. + Provides backup for the Supervisor/ Manager , whenever necessary by: + Participating in the orientation… more