Remote Pharmacy SIU Manager Investigations
Judi Health, LLC
Judi Health, LLC seeks the Manager, SIU - Pharmacy Investigations to lead the pharmacy FWA investigations program remotely in the United States. This role requires an experienced leader with pharmacy investigation background and ability to drive high-impact outcomes. You will build, maintain, and oversee an efficient SIU program, collaborate with Legal, Compliance, Audit, Network, Clinical, and Data teams, and report findings to executives with recommended actions. #J-18808-Ljbffr
- Judi Health is seeking a strategic Manager, SIU - Pharmacy Investigations for a remote role in the United States. The incumbent will oversee a comprehensive pharmacy FWA investigations program, guide complex cases, and build a high‑performing team while maintaining independence...Remote job
- ...VRC Investigations seeks experienced SIU investigators to support multi-line insurance fraud investigations. Work from home options are available with a hybrid model and travel within the advertised city and state is required.You will interview insureds and witnesses,...Remote workWork from home
- ...VRC Investigations in Phoenix, AZ is seeking experienced SIU investigators for part-time (and full-time hourly) roles. This hybrid position requires travel within the city and state and offers work-from-home flexibility while joining a team of professionals to deter insurance...Remote workHourly payFull timePart timeWork from home
$72.04k - $94.55k
...Oscar. We're hiring a Senior Analyst, SIU Investigator to join our SIU team. Oscar is the... ...enrollment data. You will analyze data and manage investigative caseload from... ...SIU. Work Location: This is a remote position, open to candidates who reside...Remote workFull timeWork from homeHome office- ...Services is a leading insurance claims investigation and medical management company committed to providing better... ...time Special Investigations Unit (SIU) Team Lead to join our team. An SIU... ...: Fluent in Spanish and English REMOTE WORK & BENEFITS This is a 100% remote...Remote workFull timeTemporary workLocal areaWork from homeVisa sponsorship
- ...Martin's Point Health Care is seeking a SIU Coordinator who provides operational, administrative... ..., and analytical support to the Special Investigations Unit across Generations Advantage and US Family Health Plan. The Coordinator manages referral intake, initial research,...Remote workFull time
- ...Martin's Point Health Care Inc. is seeking an SIU Coordinator to support the Special Investigations Unit across Generations Advantage and US Family Health Plan lines. You will manage intake, perform preliminary research, and assist with records requests and correspondence...Remote work
$60k - $98.45k
...protection. Job Description The Special Investigative Unit Consultant II is responsible for... ...to the Special Investigative Unit (SIU) for potential fraud. The role typically... ...conduct complex fraud investigations. This remote, desk-based role is responsible for...Remote workContract workWork at officeWork from homeWork visa- ...National General Holdings Corp. is seeking an experienced SIU Investigator to join our growing team. This field-based role supports the Arkansas state territory and involves conducting complex fraud investigations across Auto, Homeowners, and Specialty Lines. Prior investigative...Remote work
- ...EMC Insurance Companies seeks a Senior SIU Investigator to examine complex referrals, review related files, and coordinate with multiple parties... ...location and qualifications. The position supports remote work from anywhere in the United States and offers comprehensive...Remote work
- ...Healthcare Fraud Shield is seeking a qualified SIU Clinical Investigator to join our team at Headquarters. You will analyze medical records, code... ...and security compliance, and maintain current coding knowledge. Remote work is permitted where applicable. #J-18808-LjbffrRemote workFull time
$62.1k - $105.3k
...National General, an Allstate company, is seeking a field-based SIU investigator covering Arkansas. You will investigate suspected fraud on... ...reviews, and witness interviews. This full-time position is remote within the USA (Arkansas). Pay ranges listed are $62,100–$105...Remote workFull time- ...Optum is seeking an SIU Lead Investigator to drive investigations into healthcare fraud, abuse, and related conduct. You will triage, document... ...compliance with laws and policies. You will work remotely from anywhere in the U.S., collaborating with legal, compliance...Remote work
- ...Wisconsin seeks a strategic, hands-on SIU Manager to lead a high-impact team focused on detecting... ...insurance fraud. You will guide investigators through complex cases, shape SIU strategy... ..., and leadership of a diverse team. Remote/hybrid options available with travel as...Remote work
- ...Martin's Point Health Care is seeking a dedicated SIU Coordinator to support the Special Investigations Unit across Generations Advantage and US Family Health Plan lines. You will manage intake, records requests, and data reporting while supporting investigators with...Remote work
- ...United Automobile Insurance Company is seeking an Insurance Fraud Investigator I (SIU) for remote work in the United States, focused on high-complexity auto fraud investigations. The role involves field and desk investigations, data review, and collaboration with law enforcement...Remote work
- ...Ethos Risk Services seeks a full-time Special Investigations Unit (SIU) Team Lead to oversee a team of SIU coordinators, manage schedules, coordinate field investigators, and ensure high-quality reports. The role includes training new coordinators and coordinating with...Remote workFull time
- ...UAIC is seeking an Insurance Fraud Investigator I (SIU) to conduct field and desk investigations into high-complexity auto fraud. The role... ...skills, with a focus on thoroughness, quality, timeliness, and cost control. Remote role, in South Florida region.J-18808-Ljbffr...Remote work
- ...Martin's Point Health Care Inc. is seeking a SIU Investigator (Remote) to lead investigations into suspected fraud, waste and abuse across Medicare Advantage and USFHP contracts. The role involves data analysis, medical record review, and interviews, reporting to the...Remote work
$30 - $35 per hour
...VRC Investigations in Nashville, TN is seeking experienced, self-determined SIU investigators for part-time and full-time hourly roles. This hybrid position requires travel within the advertised city and state and offers paid formal training. Responsibilities include investigating...Remote workBi-weekly payHourly payFull timePart time- ...Ethos Risk Services in the United States is seeking a full-time Special Investigations Unit Team Lead to oversee a team of SIU coordinators, schedule and monitor field investigators, and ensure high-quality reports. The role involves training staff, communicating with...Remote workFull time
- ...All Jobs As Needed Field Investigator- Corpus Christi, TX As Needed Field... ...- Corpus Christi, TX Fully Remote • TX Description Becker &... ...Special Investigations Unit (SIU) assignments, within an assigned... ...instructions given by the case manager. Key Responsibilities: Adhere...Remote workFlexible hours
- Horizon Blue Cross Blue Shield of New Jersey seeks a Supervisor for FEP Investigations. You will lead a dedicated SIU team, overseeing case management, guiding investigations, and coordinating with authorities on fraud matters. This role requires strong leadership and...Remote job
$62.1k - $105.3k
From the posting: Field-based special investigative unit (SIU) investigator with National General, an Allstate company, covering Arkansas. Investigates... ..., record reviews and witness interviews. Location: Remote (Arkansas) Pay (as posted): Special Investigative Unit...Remote workFull time- Military, Veterans and Diverse Job Seekers seeks a SIU Investigator to conduct field and desk investigations of insurance claims from a remote home office, servicing Los Angeles, CA and surrounding areas. You will analyze facts, obtain evidence, and direct examinations...Remote jobHome office
- United Automobile Insurance Company is seeking an Insurance Fraud Investigator (SIU) to conduct field and desk investigations of high- complexity auto claims. The role involves coordinating with NICB, law enforcement, and medical professionals to detect fraud while ensuring...Remote job
- ...SIU Investigator Department: SIU Employment Type: Full Time Location: Headquarters... ...ongoing discretion and secure information management CERTIFICATE/LICENSE Certified... ...and career development initiatives ~ Remote work eligible REMOTE WORK REQUIREMENTS...Remote workFull timeFlexible hours
$105k - $110k
...Overview The SIU – Complex Major Case Investigator is a cornerstone of our fraud defense strategy. This role... ...& Case Management· Conduct complex investigations into... ...integrity in all matters. #LI-EF1#LI-REMOTE Qualifications Qualifications·...Remote workFull timeWork at officeFlexible hours$75.58k - $93.37k
...Place to Work" since 2015. Position Summary The SIU Investigator looks into suspected fraud, waste and abuse (FWA) by... ...reports to the Director, Special Investigations Unit (SIU), and manages a caseload from intake through resolution. That includes data...Remote workFull timeFor contractorsWork at officeLocal area- ...organization looking for Insurance Fraud Investigator (SIU) to join our team. Family-owned, UAIC,... ...state where we conduct business. Remote position, and must be located in the Houston... ...Excellent organizational and project management abilities, with a keen eye for detail....Remote workFull timeTemporary workWork experience placementWork at officeFlexible hours
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