• SIU Program Integrity Investigator…

    Magellan Health Services (Boise, ID)
    …of Microsoft Excel, Access, Outlook, Word, and Power Point. General Job Information Title SIU Program Integrity Investigator - Remote (In Idaho) Grade 24 ... for comprehensive management and ownership of fraud, waste and abuse investigations including development and presentation of investigative results. This individual… more
    Magellan Health Services (12/27/25)
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  • SIU Investigator - Remote

    UPMC (Pittsburgh, PA)
    … highly preferred. Under the direction of the manager, the Special Investigations Unit ( SIU ) Investigator is responsible for investigating ... UPMC Health Plan has an exciting opportunity for a SIU Investigator ! This is a remote...healthcare oversight referrals. - Plan, organize and execute dental investigations or dental audits utilizing document review, witness interviews,… more
    UPMC (01/07/26)
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  • SIU Investigator

    Kemper (Doral, FL)
    …investigation by the Special Investigative Unit . Our Special Investigator will function as a remote investigator working from her/his residence ... Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department...agencies as required by law and management. Keeps the Special Investigation Unit and field managers advised… more
    Kemper (12/05/25)
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  • Part Time Bilingual (Spanish) Private…

    The Robison Group (Brooklyn, NY)
    …reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... 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
    The Robison Group (12/21/25)
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  • AVP, Special Investigations…

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** The AVP Special Investigations Unit ( SIU ) is responsible for overseeing and managing fraud, waste, and abuse (FWA) detection, ... assets and reduce healthcare costs. This requires demonstrating vision in positioning the SIU with the right skill sets, cutting edge analytics tools, and robust… more
    BlueCross BlueShield of North Carolina (01/07/26)
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  • SIU Investigator P&C - Post-bind…

    USAA (Dallas, TX)
    …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). **This is a "Desk" position.** **Besides solid experience as ... an SIU Investigator within P&C, you will have...SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement… more
    USAA (12/27/25)
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  • Lead SIU Investigator

    Centene Corporation (Frankfort, KY)
    …Position acts as a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud, Waste and Abuse of Medicaid services within Kentucky. Provides ... + Manage and coordinate cases being investigated by the SIU + Maintain all vendor cases + Assist with...Maintain all vendor cases + Assist with conducting complex investigations , including on-site investigations , review, complete and… more
    Centene Corporation (01/06/26)
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  • Senior Fraud & Waste Investigator

    Humana (Oklahoma City, OK)
    **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator ... to join the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving providers who submit… more
    Humana (12/07/25)
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  • Fraud and Waste Investigator

    Humana (Hartford, CT)
    …looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit . Do you enjoy speaking with members, ... you, then you should strongly consider this amazing opportunity to join Humana's SIU . The Fraud and Waste Professional conducts investigations of allegations of… more
    Humana (12/24/25)
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  • Special Investigator

    AmeriHealth Caritas (Columbus, OH)
    … investigations . + Performs necessary functions to support all aspects of SIU investigations and responsibilities to include, but not limited to: Intake; ... Special Investigation Units and fraud, waste and abuse investigations . + Conducts investigations of potential fraud,...in lieu of formal educational requirements for the Lead SIU Investigator position may be considered. +… more
    AmeriHealth Caritas (10/22/25)
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