- CVS Health (Harrisburg, PA)
- …can be work from home anywhere in the United States. **Position Summary** The Special Investigations Unit (SIU) is looking for an analytically driven ... data extraction and analysis, dedicated to a specific self-funded plan sponsor. The lead reviewer is accountable for the validation of existing fraud waste and abuse… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager, SIU, the Team Lead is responsible to lead a small team of investigators and provide ... Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight...provide oversight and guidance throughout the life of an investigation as well as QA reviews and approvals. In… more
- LA Care Health Plan (Los Angeles, CA)
- …motivating direct reports. Duties Leadership and Program Oversight: Lead LA Care's Special Investigations Unit (SIU) in overseeing the internal and ... Director, Compliance on Special Investigations Unit and...(DHCS), and state/federal requirements. Ensure effective case intake, triage, investigation , tracking, and resolution processes, including referral to law… more
- Centene Corporation (Oklahoma City, OK)
- …and Oklahoma markets. Develop internal processes for enhanced FWA detection and investigation completion. + Evaluate the department policies and procedures to ensure ... in billing and claims payment + Serve as a lead and investigate all possible fraud, waste and abuse...or equivalent experience. 6+ years of combined medical claim investigation , financial impact analysis, business analysis, compliance or fraud… more
- Spokane County (Spokane, WA)
- Attorney 3 - Special Assaults Unit , Prosecutor Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/5104620) Apply Attorney 3 - ... Special Assaults Unit , Prosecutor Salary $104,833.96 -...refer the case back to the investigator for further investigation , or whether to decline criminal prosecution. + Prepares… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …-Minimum of 2 -3 years of recent experience in a GI Lab, Special Procedures Unit , or lnterventional Radiology setting. -Demonstrated experience in charge ... required for males born after 12/31/1959. Subject to background/security investigation . Selected applicants will be required to complete an...nurse or team lead roles. -Skilled in post-procedure monitoring, including sedation recovery,… more
- Bureau of Alcohol, Tobacco, Firearms, and Explosives (Washington, DC)
- …using accepted methodology and problem-solving techniques; AND Serving as a lead agent in planning and conducting investigations , operations, searches, ... Announcement (OCA) that will be used to fill multiple Criminal Investigator ( Special Agent) vacancies at the Washington Field Office. Eligible candidates will be… more
- City of New York (New York, NY)
- …Yorkers will have a democracy they can truly trust. ABOUT THE DEPARTMENT The Investigations Unit works with other CFB units to ensure compliance with campaign ... of other regular people, not just wealthy donors and special interests. And we lift the veil on how...finance laws and regulations and seeks a Director of Investigations to lead a team of analysts… more
- State of Colorado (Denver, CO)
- Financial Fraud Investigator ( Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5155250) Apply Financial Fraud Investigator ( ... Special Agent III) Salary $98,328.00 - $118,008.00 Annually Location...the Office of the Attorney General! The Financial Fraud Unit within the Colorado Department of Law (DOL) is… more
- US Secret Service (Washington, DC)
- …career dedicated to serving the nation through our dual mission of criminal investigations and protection. Special Agents play a critical role in safeguarding ... Summary Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position… more
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