- Prime Therapeutics (Denver, CO)
- …**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 (FL)
- **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 (IA)
- **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
- Kemper (San Diego, CA)
- …for investigation by the Special Investigative Unit . Our Special Investigator will function as a remote investigator working from their residence ... Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department...agencies as required by law and management. Keeps the Special Investigation Unit and field managers advised… more
- The Robison Group (Monroe, LA)
- …and other investigative tasks. 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
- Humana (Oklahoma City, OK)
- …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities...program transparency and accountability. They will report to the SIU Director and work closely with Humana's Oklahoma Market.… more
- Molina Healthcare (IA)
- **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
- CareOregon (Portland, OR)
- …9-3 PM PST. Flexible if in Central Time). Job Summary The Special Investigations Unit ( SIU ) Investigator position is responsible for administering ... Candidates hired for remote positions must reside in Oregon, Washington, Utah,...Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Special Investigations Unit Investigator… more
- Allied Universal (Rutland, VT)
- …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
- USAA (San Diego, CA)
- … Desk Investigator in the San Diego Metro, CA area. As a dedicated SIU Investigator , you will within defined guidelines and framework, protects USAA and our ... our members. Be part of what truly makes us special and impactful. **The Opportunity** We are looking to...include Auto, Property and Underwriting + Current or prior SIU investigations experience working in diverse teams… more