- Prime Therapeutics (Denver, CO)
- …**Job Posting Title** SIU Investigator - Remote **Job Description** The Special Investigations Unit ( SIU ) Investigator is responsible for ... prevention efforts ensure proper identification of potential FWA. The SIU Investigator prepares investigative reports for leadership,... (LPN) or Registered Nurse ( RN ) + Prior experience in a special … more
- Molina Healthcare (IA)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make… more
- Elevance Health (Atlanta, GA)
- …INVESTIGATOR LEAD** is responsible for providing leadership and guidance to the Special Investigations Unit team in investigating, collecting, researching ... ** Investigator Lead - Pharmacy** **Location** : This position...with the administration and operational activities occurring within the Special Investigations Unit for Pharmacy… more
- CVS Health (St. Paul, MN)
- …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