- Molina Healthcare (AZ)
- **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
- State of Minnesota (Minneapolis, MN)
- **Working Title: Assistant Inspector General, Special Investigations Unit - State Prog Admin Manager Sr** **Job Class: State Program Administrator, Manager ... development opportunities. As the Assistant Inspector General over the Special Investigations Unit (SIU) in...to MDE during or at the conclusion of an investigation and/or prosecution, and any subsequent appeal. **Minimum Qualifications**… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The AVP Special Investigations Unit (SIU) is responsible for overseeing and managing fraud, waste, and abuse (FWA) detection, ... with FWA investigation and reporting. **What You'll Do** **Leadership:** + Lead and mentor a team of fraud investigators, analysts, and other staff, providing… more
- Meta (Menlo Park, CA)
- …Compliance Sanctions Financial Intelligence Unit (FIU) as a Sanctions FIU Investigations Lead . Working closely with the Sanctions FIU Manager, the role ... collaborate with teams across the company. **Required Skills:** Sanctions FIU Investigations Lead Responsibilities: 1. Conduct complex investigations … more
- CVS Health (Harrisburg, PA)
- …health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional ... responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention efforts to safeguard the organization's resources and… more
- CVS Health (Albany, NY)
- …education may substitute) + Experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role ... States **Preferred Qualifications** + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the...+ Working experience with Regulatory Agencies as SME or Lead Point of Contact **Education** + Bachelor's degree or… more
- Elevance Health (Woburn, MA)
- **Business Change Manager, Senior - Special Investigation Unit - Fraud and Abuse** **Location:** This position will work a hybrid model (remote and office). ... projects, programs and plans that support achievement of business unit and enterprise goals. **How you will make an...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CVS Health (Plantation, FL)
- …accurate and efficient coding reviews of medical procedures and diagnoses. You will lead a team of coding professionals, providing guidance and support to maintain ... on location. East or Central Region preferred but not required. * Lead and manage the coding department, including recruitment, training, and performance evaluation… more
- Palo Alto Networks (Santa Clara, CA)
- …is to create an environment where we all win with precision. **Your Career** Unit 42 is seeking a strategic, analytical, and results-driven professional to join the ... will act as a trusted thought partner to the Unit 42 leadership team, leveraging data-driven insights to drive...and align with corporate objectives. + **Forecasting & Modeling:** Lead predictive modeling efforts such as pipeline analysis, deal… more
- US Secret Service (Washington, DC)
- …here. Responsibilities SPECIAL AGENTS During the course of their careers, Special Agents carry out assignments in both investigations and protection and ... Summary Joining the Secret Service as a Special Agent will allow you to perform critical...throughout the US and abroad. Duties include: Conducting criminal investigations pertaining to financial obligations of the United States;… more