- Molina Healthcare (New York, NY)
- **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 (New York, NY)
- …developments, and ensure cases are being investigated according to the SIU 's standards. Position must have thorough knowledge of Medicaid/Medicare/Marketplace ... DESCRIPTION** **Job Summary** Under direct supervision of the Manager, SIU , the Team Lead is responsible to lead a...Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- Elevance Health (Grand Prairie, TX)
- ** Investigator II - Carelon Payment Integrity SIU...be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour ... to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Investigator II** is responsible for the identification, investigation, and… more
- Centene Corporation (Oklahoma City, OK)
- …of Microsoft Applications, medical coding and terminology preferred. **Please note: candidate must reside within the state of Oklahoma.** Pay Range: $54,000.00 ... and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud… more
- Providence (OR)
- …will:** + Support timely completion of compliance related audits and investigations of the Special Investigations Unit ( SIU ) at the Health Plan + ... empower them._** **Providence Health Plan is calling an Investigator , Special Investigation Unit who...multiple cases and audits simultaneously + May assist Senior Investigator or SIU Director in developing, implementing… more