- Prime Therapeutics (Austin, TX)
- …**Job Posting Title** SIU Investigator - Remote **Job Description** The Special Investigations Unit ( SIU ) Investigator is responsible for ... FWA prevention efforts ensure proper identification of potential FWA. The SIU Investigator prepares investigative reports for leadership, remediation actions,… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...Services, Member Services, Claims) to gather documentation pertinent to investigations . * Detect potential health care fraud, waste, and… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... clinic settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role + Thorough knowledge of PC based software including Microsoft Word… more
- Allied Universal (Houston, TX)
- …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance...and travel + Job flexibility offering both field and remote work + Investigations related educational opportunities… more
- Allied Universal (Odessa, TX)
- …card for all fuel and travel + Job flexibility offering both field and remote work + Investigations related educational opportunities and paid training + ... As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation… more
- The Robison Group (San Antonio, TX)
- Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance ... We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment,...be willing and able to obtain a Texas Private Investigator license. + Self-motivated, determined, and intuitive. + Strong… more
- CVS Health (Austin, TX)
- …self-insured plans for our Meritain TPA business. This role will work within the Special Investigations Unit , while also working with various stakeholder ... review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Conduct high level, complex investigations of known or… more