- UPMC (Pittsburgh, PA)
- …formfieldid="descriptionInt" UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. ... position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud, waste… more
- Centene Corporation (Columbus, OH)
- …and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud ... and abuse. + Conduct investigations of potential waste, abuse, and fraud + Document...referral to Federal and State agencies + Complete various special projects and audits + Performs other duties as… 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 ... utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and...+ Make sound judgments during the course of the investigation . + Provide timely progress updates. + Complete detailed… more
- Allied Universal (Shreveport, LA)
- …career with us and make a difference. 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):**… more
- Kemper (Doral, FL)
- …referred to and accepted for investigation by the Special Investigative Unit . Our Special Investigator will function as a remote investigator ... Investigator will conduct field as well as desk investigations of insurance claims...agencies as required by law and management. Keeps the Special Investigation Unit and field… more
- CVS Health (Atlanta, GA)
- …it all with heart, each and every day. **Position Summary** - Conducts investigations to effectively pursue the prevention, investigation and prosecution of ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
- Molina Healthcare (Covington, KY)
- …to the SIU Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight and guidance throughout the ... life of an investigation as well as QA reviews and approvals. In...effectively and timely. + Manage the flow of day-to-day investigations . + Perform assessment that QA measures were complete… more
- Command Investigations (Detroit, MI)
- …) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator . SuperiorX Investigations ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… 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
- State of Colorado (Denver, CO)
- …Justice Section is seeking an experienced investigator to join the Special Prosecutions Unit . In this role, you'll investigate allegations of criminal ... Special Prosecutions Investigator ( Special ...appropriate for investigation and prosecution by the Special Prosecutions Unit . As such, this position… more