Special Investigator Jobs

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The Special Investigative Analyst III will be responsible for researching, investigating and resolving instances of healthcare fraud and/or abusive conduct by internal employees, the medical profession, insured members, or the broker community. Will conduct interviews with providers, members, employees, or informants, utilize data mining and conduct medical record review to identify suspicious tre...

Job Description JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.4 trillion and operations worldwide. The Firm is a leader in investment banking, financial services for consumers, small business and commercial banking, financial transaction processing, asset management and private equity. A component of the Dow Jones Industrial Average, JPMorgan Chase...

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 have...

Pharmacy Investigative Researcher - Special Investigations Unit Requisition ID 142780 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...

Medicare Investigator - Special Investigations Unit Requisition ID 143584 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 have...

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Special Investigations Unit Investigator - Global Security & Military Affairs-150054279 Job Description JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.4 trillion and operations worldwide. The Firm is a leader in investment banking, financial services for consumers, small business and commercial banking, financial transaction processing, asset manag...

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...

Position Purpose: Investigate allegations of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and measure potential healthcare fraud. Assist in monitoring business processes and systems to assure integrity and compliance in billing and claims payment Investigate possible waste , abuse and fraud lead...

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...

Apply Now Investigator Special Investigations Unit Job Location: Boston, MA 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 to d...

Role: Pharmacy Investigative Researcher- 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 ...

Role: Medical Medicare 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 pro...

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...

Position Summary: Under the supervision of the Director of the Office of Special Investigations (OSI), the Confidential Investigator Unit Supervisor will be assigned to perform, with wide latitude for independent action and decision, highly confidential and sensitive investigations into allegations of corruption, misconduct, and/or other illegal, unethical, or improper activity by Department of Ed...

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 ...

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Special Investigations Unit Investigator - Global Security & Military Affairs-150036781 Job Description JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.4 trillion and operations worldwide. The Firm is a leader in investment banking, financial services for consumers, small business and commercial banking, financial transaction processing, asset manag...

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...

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 Los Angeles District Office is located at 320 West 4th Street Ste. 350 – Los Angeles, CA 90013, with its headquarters located in Sacramento, CA. ABOUT THE P...

Combined Insurance, an ACE Group Company, is seeking an SIU Manager to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of over 90 years. Come join our team of hard-working, talented professionals! JOB SUMMARY: Oversee the anti-fraud program, manage case referrals to the SIU and partner with claims management in the identificat...