- Molina Healthcare (Hartford, CT)
- …responsible for supporting the day to day operations and initiatives of the Special Investigations Unit ( SIU ). **Knowledge/Skills/Abilities** * Respond ... **Job Description** **Job Summary** The SIU Senior Investigator position...fraud, waste and abuse with fraud technology * Conduct investigations and interviews to gather additional evidence * Research… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, ... Department of Health (LDH) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Louisiana to increase… more
- Elevance Health (Des Moines, IA)
- **Nurse/CPC - Clinical Fraud Investigator Senior - SIU Fraud & Abuse** **Location:** Alternate locations may be considered. This position will work in a ... of our Elevance Health PulsePoint locations. The **Clinical Fraud Investigator Senior ** is responsible for identifying issues...aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas… 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 ... make health care more personal, convenient and affordable. **Position Summary:** The Senior Clinical Investigator Consultant will support Medical Cost Management… more