- CVS Health (Albany, NY)
- …experience required (graduate level education may substitute) + Experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / ... with department leaders to fulfill the requirements of the program integrity unit + Comply with all...States **Preferred Qualifications** + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Responsible for planning, direction, and operation of the Special Investigations Unit (SIU). Responsible for developing and directing the fraud, ... waste and abuse (FWA) program processes and oversight and coordination of ...for the development, management, implementation and oversight of the Special Investigations Unit . Responsible for… 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, ... law enforcement agencies, regulatory bodies, and external partners during investigations . + Prepare comprehensive reports summarizing investigation outcomes,… more
- CVS Health (Providence, RI)
- …affordable. Kentucky Resident is preferred The SIU Investigator conducts complex investigations to effectively pursue the prevention, investigation and ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.… more
- CVS Health (Harrisburg, PA)
- …This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your ... compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement… more
- CVS Health (Columbus, OH)
- …innovate and deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our ... responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention efforts to safeguard the organization's resources and… more
- CVS Health (Baton Rouge, LA)
- …is a remote position but Louisiana residency is required. + Conducts investigations to effectively pursue the prevention, detection, investigation and ... in identifying resources and best course of action on investigations + Serves as back up to the Team...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.… more
- CIBC (Chicago, IL)
- …violations and insider risks. You will determine the appropriate type of investigation needed and ensure high-quality, independent investigations are carried out ... Be Doing** In this role, you will lead an Investigations team responsible for conducting thorough assessments of code...and insider risks. + Determine the appropriate type of investigation based on the nature of the misconduct or… more
- CVS Health (Columbus, OH)
- …This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your ... compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement… more
- New York State Civil Service (Hauppauge, NY)
- …General, Office of the Title Attorney for Information Access: Office of Special Investigation (3762) Occupational Category Legal Salary Grade NS Bargaining ... Unit M/C - Managerial/Confidential (Unrepresented) Salary Range From $84559...Zip Code 11788 Duties Description Criminal Justice DivisionOffice of Special Investigation -New York City or Suffolk Assistant… more