Senior SIU Investigator - FWA & Process Improvement
HMSA
HMSA in Honolulu seeks a candidate for Fraud, Waste, and Abuse oversight and case investigations. Responsibilities include overseeing SIU staff, managing investigations, and implementing process improvements to combat FWA. The role requires strong knowledge of claims, health plan regulations, and the ability to train staff effectively. This position supports operational enhancements within SIU and provides necessary oversight for case resolutions. Position offers a hybrid work model. #J-18808-Ljbffr HMSA
- A leading health plan provider is seeking a candidate for the role focused on managing complex fraud, waste, and abuse (FWA) case investigations in Honolulu, Hawaii. Responsibilities include collaborating with law enforcement, conducting audits, and creating internal policies...Suggested
- ...Perform FWA incident oversight and SIU staff development activities: Provide... ...and providing feedback to Investigators for written correspondences... ...workflows and processes, information and data systems... ...findings. SIU Process Improvement and SIU Operational Support...Process improvementContract work
- A health management organization in Honolulu is seeking a professional for SIU Case Investigation Management and Resolution. The role involves managing fraud, waste, and abuse (FWA) investigations, collaborating with law enforcement, and documenting findings. Candidates...Suggested
$53k - $99k
...leading healthcare organization in Honolulu is looking for an investigator to manage, resolve, and prevent Fraud, Waste, and Abuse cases.... ...strong communication skills and a fundamental understanding of FWA. This full-time role offers a hybrid work environment, with a salary...SuggestedFull time$6,043 - $7,351 per month
A government agency in Hawaii is seeking a Human Resources Specialist to provide advisory services and manage complex HR functions. The ideal candidate will have a Bachelor's degree and at least 3.5 years of experience in HR management, including labor relations. Key responsibilities...Senior- The State of Hawaiʻi is seeking an Investigator III for the Hawaii Civil Rights Commission. This role involves investigating civil rights violations, preparing investigative reports, and providing support for resolution of discrimination complaints. Candidates must have...Senior
$6,043 - $7,351 per month
A government department in Honolulu is seeking an Investigator V responsible for planning and directing investigations. The role demands a Bachelor's degree and extensive investigative experience, including analytical and oral/written communication skills. Salary ranges...Senior$6,043 - $7,351 per month
A governmental agency in Hawaii is seeking a full-time Investigator to oversee and conduct investigations into legal violations across various jurisdictions. The ideal candidate will have a Bachelor's degree and at least 3.5 years of professional investigative experience...SeniorFull time$5,369 - $6,535 per month
A state government agency is seeking a full-time Investigator to handle cases involving illegal use and complaints related to Hawaiian home lands. The position offers a salary between $5,369 to $6,535 monthly and requires a Bachelor's degree and related professional experience...SeniorFull time$5,369 - $6,535 per month
The State of Hawai'i is seeking an Investigator IV for the Department of Labor & Industrial Relations in Honolulu. This permanent, full-time position involves conducting investigations into potential violations of civil rights laws and regulations. Candidates should hold...SeniorPermanent employmentFull time$6,043 - $7,351 per month
The State of Hawai'i is seeking a full-time Investigator for the Narcotics Enforcement Division in Honolulu. The successful candidate will conduct investigations related to illicit drugs and enforcement actions, require a Bachelor's degree, and possess investigative and...SeniorFull time$6,043 - $7,351 per month
A State Government Agency is seeking an Investigator V located in Honolulu, Hawaii. This permanent, full-time position requires a Bachelor's degree and 3.5 years of investigative experience. The role involves leading investigations related to drug offenses, requiring strong...SeniorPermanent employmentFull time$5,369 - $6,535 per month
The State of Hawai'i seeks an investigator for a permanent full-time position with the Department of Hawaiian Home Lands. The role includes investigating illegal activities on Hawaiian home lands, responding to public complaints, and preparing enforcement reports. Applicants...SeniorPermanent employmentFull timeWork experience placement$6,043 - $7,351 per month
The State of Hawai'i is seeking a permanent, full-time Investigator V for the Department of Commerce & Consumer Affairs. The role involves planning and coordinating investigative activities on civil, administrative, and criminal law violations. Candidates must have a Bachelor...SeniorPermanent employmentFull time- ...SIU case investigation management, resolution and prevention: Manage complex FWA case investigations, collaborate with federal, state and law enforcement entities, and provide applicable notifications as required. Conduct pro-active FWA case investigations and resolutions...
- ...SIU case investigation management and resolution: Manage FWA case investigations, collaborate with federal, state and law enforcement entities, and provide applicable notifications as required. Maintain extensive documentation and evidence for SIU cases. Recommend...
- The City and County of Honolulu is seeking a Supervising Medicolegal Investigator to lead and supervise investigative staff in the Medical Examiner's Office. This role ensures adherence to professional standards while conducting complex death investigations. Qualified...SeniorWork at officeRelocation package
$6,043 - $7,351 per month
...Hawai'i seeks an Administrative Coordinator to assist department directors in handling various administrative matters, conducting investigations, and preparing reports. A Bachelor's degree is required along with significant professional experience in writing, data...Senior$42k - $78k
A healthcare organization in Honolulu is seeking a full-time investigator for the Special Investigations Unit. This role involves managing and resolving Fraud, Waste, and Abuse cases through thorough research and collaboration with state and federal entities. The ideal...Full time- ...Specialist IV in Honolulu. This position involves a full range of governmental purchasing work, including reviewing and processing contracts for capital improvements and professional services. Candidates must have a Bachelor's degree and at least 2.5 years of relevant...Process improvementSenior
$71.1k - $97.8k
...part of our caring community. The Senior Fraud and Waste Investigator conducts investigations of allegations... ...focused on continuously improving consumer experiences Preferred Qualifications... ...of healthcare industry, claims processing and investigative process development...SeniorBi-weekly payTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday- ...ensure alignment with technical specifications. You will manage projects, engage with clients, and lead a team while driving process improvement and innovation. Key qualifications include a Bachelor's degree and extensive SAP experience. The offered salary range is competitive...Process improvementSenior
- ...and residential appraisals in Honolulu, Hawaii. The position requires a strong background in valuation, vendor management, and process improvement. Qualified candidates will have a Bachelor’s degree and over 10 years of related experience, with proficiency in managing...Process improvementSenior
- Ernst & Young Oman is seeking a Senior Manager - Business Process Architect to lead client engagements across financial services. This role requires a strong background in operational analysis, process improvement, and business architecture. The successful candidate will...Process improvementSeniorFlexible hours
$72.9k - $110.82k
...We are looking for a Tax Senior who is experienced in corporate taxation and can support the Servco tax team in multiple areas... ...reporting requirements Contribute to cross-functional projects, process improvement efforts, and tax savings opportunities Maintain tax...Process improvementSenior- ...Senior Electrical Engineer Leads electrical design for photovoltaic and battery energy storage system power generation projects... ...-drop, and wire-loss analysis 2%; Quality Assurance & Process Improvement (30%): • Review project deliverables prepared by junior...Process improvementSeniorFull time
- A leading accounting firm in Honolulu is seeking a Senior Accountant. This role involves managing the integrity of financial reporting, ensuring compliance with U.S. GAAP, and supporting audits. The ideal candidate has a Bachelor’s degree in Accounting with at least three...Process improvementSenior
- ...management staff. Evaluates effectiveness of policies and procedures to improve workflows and efficiency. # Coordinates postmortem activities... ...customer surveys and internal documentation. Identifies process improvements opportunities, conducts cost/benefit analysis to...Process improvementSenior
- ...motivated, career and customer-oriented Senior Program Quality Manager to join our... ...management system and coordinates regular process reviews across multi-functional departments... ...acting as a functional lead for process improvement deliverables. Preferred...Process improvementSeniorWork at officeLocal area
$70k - $110k
...Description Position: Accountant / Senior Accountant (Construction) Location:... ..., and account reconciliations Process payroll and ensure accuracy and compliance... ...Identify opportunities for process improvements and efficiencies #RemedyHIDirectHire...Process improvementSeniorPermanent employmentLocal areaFlexible hours
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