- AmeriHealth Caritas (Newtown Square, PA)
- …Reporting to the Director, Special Investigations Unit , the Manager , SIU Data & Analytics will work cross-functionally to create and develop ... proactive approaches to mitigating fraud. The Manager , SIU Data & Analytics oversees...determining project requirements to ensure successful implementation to meet unit needs.; + Interfaces regularly with various departments and… more
- CVS Health (Hartford, CT)
- …day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit ( SIU ) to ensure compliance with ... review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes....as management back-up and supports the team when the manager is out of the office. **Required Qualifications:** +… more
- CVS Health (Baton Rouge, LA)
- …+ Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Conduct high level, complex investigations of known or suspected ... Meritain TPA business. This role will work within the Special Investigations Unit , while also...as management back-up and supports the team when the manager is out of the office. **Required Qualifications:** +… more