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Special Investigator Jobs

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Overview: At Great American, we focus on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a "small company" entrepreneurial atmosphere with "big company" expertise. Great American has more than 25 specialty insurance divisions within our Property & Casualty Grou...

MetroPlus provides access to health care services to New York City residents in Brooklyn, Queens, the Bronx and Manhattan through New York State's Medicaid Managed Care, Child Health Plus, Family Health Plus and Partnership in Care, an HIV Special Needs Program through its network of participating providers. Purpose of Position: MetroPlus Health Plan is seeking a highly qualified candidate for a...

Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and abuse (FWA) detection, investigation, remediation, and prevention efforts. The Investigator utilizes preliminary recommendations provided by the SIU Data Analyst to develop, conduct, resolve, document, and report on investigations of tips, allegations, or data ...

About Us AmeriHealth Caritas is growing! We are the nation’s leading provider of health care solutions for the underserved—a mission-driven organization that has helped people in need for 30 years. Our companies positively impact the lives of nearly 5 million individuals in 13 states. As we expand, AmeriHealth Caritas is seeking talented, passionate associates to join our team. Together we can b...

Symetra is seeking an experienced professional to join its Special Investigations Unit within Corporate Security. Key responsibilities of the role include: Conduct thorough, timely, objective investigations. Prepare investigative reports as required. Detail investigative findings to our business units and/or Executive Management as necessary. Develop anti-fraud policy and fraud awareness training ...

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining ...

Pharmacy Investigator - Special Investigations Unit Requisition ID 142778 Business Overview At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely ha...

Medicaid Investigator - Special Investigations Unit Requisition ID 146360 Business Overview At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely ha...

Role: Medicaid Investigator - Special Investigations Unit Assignment: Special Investigations Unit Location: Green Bay, WI or Louisville KY, Virtual We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing p...

Apply Now Investigator Special Investigations Unit Job Location: Manchester, NH Job Description Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and abuse (FWA) detection, investigation, remediation, and prevention efforts. The Investigator utilizes preliminary recommendations provided by the SIU Data Analyst ...

AMENDED (Those who previously applied need not re-apply) Position Summary: The Confidential Investigator will have wide latitude for independent action and decision, in the performance of highly confidential and sensitive investigations into allegations of corruption, misconduct, and/or other illegal, unethical, or improper activity by Department of Education employees. The Confidential Investig...

Role: Pharmacy Investigator - Special Investigations Unit Assignment: Special Investigations Unit Location: Green Bay, WI or Louisville KY, Virtual We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing p...

Special Consultant Investigator (Special Consultant) SPECIAL CONSULTANT 7291BR Human Resources, Diversity & Inclusion Human Resources Salary commensurate with experience and qualifications. Special Consultant Intermittent This is an on-call, intermittent position. Work schedule to be determined. California State University, Fullerton is searching for a driven, proactive, fair-minded indiv...

California State University, Fullerton is searching for a driven, proactive, fair-minded individual who is seeking a challenge. The Special Consultant Investigator works on special assignments for the Associate Vice President for Human Resources Diversity and Inclusion (HRDI). The duties include, but are not limited to, administrative studying, reviewing, analyzing and investigating allegations of...

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate l...

DescriptionConstructs and plans investigative, special reports and sweeps stories by organizing, approving copy and graphics and all other content using criteria established by management. Plans calendars of stories for each month year-round with News Director and Assistant News Director. Discusses and directs marketing and promotion of special projects stories and series and year-round special pr...

ABOUT THE BUREAU OF REAL ESTATE: The California Bureau of Real Estate (CalBRE) provides for the licensing and regulation of real estate licensees. CalBRE enjoys a nationwide reputation as a leader in real estate licensing and regulation. The Fresno District Office is located at 2550 Mariposa Mall, Suite 3070 – Fresno, CA 93721 with its headquarters located in Sacramento. ABOUT THE POSITION: Cal...

Are you a strong storyteller?Do you know different ways to construct a story?Can you find all the angles to make an investigative report have the most impact?We are looking for an Executive Producer of Investigations/Special Projects.You will oversee reporters and photographers working on long-form stories. You will also be responsible for developing a strategy to deliver content for sweeps period...

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This is a Peace Officer classification [PC 830.3(h)] subject to Peace Officer Standards and Training [POST] requirements. The Supervising Special Investigator I (SSI I) is responsible for planning, organizing and directing a unit of field investigators in the performance of their duties. The SSI I, will monitor and assess all case referrals, assign work, review casework to ensure high quality inve...