- Premera Blue Cross (Mountlake Terrace, WA)
- …purposes. + Collaborate with internal teams (eg, claims processing, provider relations, special investigations unit ). + Utilize auditing software and ... communicate audit results and will collaborate with internal teams including the Special Investigation Unit and Payment Integrity Specialists. This role requires… more
- Capital One (Jericho, NY)
- AML Sr. Investigator I - Special Investigations Unit **AML Sr. Investigator I - Special Investigations Unit ** The Anti-Money Laundering (AML) Sr. ... Supervisors and Managers to perform other critical functions. The Special Investigations Unit conducts suspicious...+ Self-manage a queue of alerts, cases, and closing investigations + Helps maintain operations of a SIU… more
- The Robison Group (Brooklyn, NY)
- …writing, 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
- Elevance Health (Cleveland, OH)
- …recover, eliminate and prevent unnecessary medical-expense spending. **Staff Vice President (VP), Special Investigations Unit ( SIU )** **Location:** May ... teams across the national SIU . + Functions within the SIU include investigations , case intake and assignment, and data analysis. + Hires, trains, coaches,… more
- Providence (Oakland, CA)
- **Description** **Investigator External Audit Special Investigations Unit \*Remote The SIU Audit Investigator supports the compliance related activities ... of the Special Investigations Unit ( SIU ) at the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and… more
- City of New York (New York, NY)
- …and/or non-criminal, unique, highly confidential and sensitive investigations . The Special Investigation Unit ( SIU ) is responsible for investigating ... The New York City Department of Correction seeks to recruit Deputy Directors for the Special Investigation Unit ( SIU ). Under the direction of the Executive… more
- Centene Corporation (Jefferson City, MO)
- …and executing strategies that ensure high-quality, timely, value-generating FWA investigations in compliance with legal, regulatory, and contractual requirements. ... as external stakeholders, including law enforcement. + Lead and support enterprise-wide SIU team that detects, investigates, and mitigates FWA across all business… more
- Geisinger (Danville, PA)
- …Responsible for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and ... by the enterprise. Job Duties + Provides leadership and strategic direction of Special Investigations and Program Integrity units spanning all lines of business.… more
- CVS Health (Phoenix, AZ)
- …parties including CVS Health corporate security, pharmacy audit and network teams, the client's special investigations unit ( SIU ), and Federal, State, ... we do it all with heart, each and every day. The Advisor- Investigations /Compliance provides expert healthcare fraud, waste, and abuse investigative expertise in… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Special Investigations Unit ( SIU ) Investigator is responsible to conduct timely and thorough health care fraud investigations ... Investigations are confidential and are conducted in accordance with SIU Policies and Procedures, contractual obligation and in accordance with applicable state… more
