SIU Manager: Fraud Investigations & Data Leader
Medica Services Company LLC
Medica is seeking a Manager for Special Investigations to supervise SIU investigators, drive quality and timely responses, and lead reporting initiatives. You will partner with Compliance and Operations to detect fraud patterns and minimize business impact, while developing educational communications across Medica. The role requires coordinating with multiple departments, providing mentorship, and delivering monthly investigative dashboards and summary reports for leadership. #J-18808-Ljbffr Medica Services Company LLC
- Medica is seeking a Manager of Special Investigations to supervise, train, and oversee the SIU investigative staff. You will prepare reports and dashboards, liaise with... ...and develop communications to raise awareness of fraud and abuse within Medica. Strong leadership and...FraudWork at office
$78.7k - $134.9k
...accountability, makes data-driven decisions,... ...of Medica's Special Investigations Unit (SIU) investigative staff.... ...to raise awareness of fraud, waste and abuse detection... ...at Medica. The Manager - Special Investigations... ...solid relationships with leaders in other departments...DataFraudWork experience placementWork at office3 days per week- ...Minnesota and surrounding states, seeks an experienced SIU Investigator IV. The role leads complex fraud investigations, conducts onsite audits, and... ...guide investigative strategies. The position emphasizes data-driven decision making, documentation, and program oversight...DataFraud
$70.2k - $120.4k
...Siu Investigator IV Medica is a nonprofit health plan with more than a... ...work with accountability, makes data-driven decisions, embraces... ...investigations into suspected fraud, waste, and abuse involving members... ..., and employees. The role manages complex cases, conducts...DataFraudWork experience placementWork at office3 days per week$62.7k - $107.5k
...with accountability, makes data-driven decisions, embraces continuous... ...valued. The Special Investigation Unit (SIU) Investigator III conducts... ...into suspected fraud, waste, and abuse involving... ...federal level, criminal case management or criminal investigation....DataFraudWork experience placementWork at office3 days per week- ...Medica in Minnetonka, MN is seeking an SIU Investigator IV to lead advanced fraud, waste, and abuse investigations involving members, providers, and employees. You will manage complex cases, review evidence from multiple sources, and guide actions that support legal or...Fraud
$27 - $32 per hour
...Special Investigations Unit (Siu) Investigator Advance Your Career in Insurance... .... As a global leader, we provide dynamic opportunities... ...and the components of fraud to determine if claims... ...guidance from clients and case managers, by means of data collection, interviews,...DataFraudWork at officeLocal area- Medica seeks an experienced SIU Investigator III to conduct complex investigations of suspected fraud, waste, and abuse involving members, providers, and staff. The role... ..., MN, this on-site role requires strong data analytics, meticulous documentation, and the ability...DataFraud
- Medica is seeking an SIU Investigator III in Minnetonka, MN to conduct complex fraud investigations, onsite audits, and collaborate with legal/regulatory partners. The role emphasizes data-driven analysis, thorough documentation, and professional representation in external...DataFraudWork at office3 days per week
- ...serving communities across Minnesota and surrounding states. The SIU Investigator III conducts complex investigations, onsite audits, and... ..., with onsite work at Minnetonka, MN. The position emphasizes data-driven decision making, collaboration, and maintaining thorough...DataFraud
- Medica is a nonprofit health plan with 1M+ members serving Minnesota and neighboring states. The SIU Investigator III conducts complex investigations into fraud, waste, and abuse and leads onsite audits of provider practices, maintaining thorough records and collaborating...FraudWork at office
- Allied Universal is hiring a Special Investigations Unit (SIU) Investigator to assess suspected fraudulent insurance claims and determine if reporting to state agencies is warranted. The role involves fieldwork and independent analysis across workers’ compensation, general...Fraud
- ...you have a professional investigative background in financial crimes, insurance fraud, or property crime —... ...offenses. Work includes managing an assigned caseload from... ...Minnesota Government Data Practices Act to identify... ...Investigations Unit (SIU) work, or federal civilian...DataFraudWork at office
$126.82k - $149.2k
...Cybercrime Threat Hunting Manager to build and lead a new... ...detection and investigation capability within Information... ...both a strategic people leader and an active senior... ...cyberattack behavior to fraud and financial outcomes,... ...Product, Digital Banking, Data Analytics, and other...DataFraudFull timeLocal area3 days per week$70k - $130k
...Analyst: Surveillance & Investigations you will support the... ...customer service, process/data analysis, and complex... ..., and paid-time off.Leaders who support your... ...through coaching and managing opportunities.Ability... ...Thinking, Communication, Fraud Management, Fraud Risk...DataFraudFull timeFlexible hours- ...Medica is seeking an experienced SIU Investigator IV to lead complex fraud, waste, and abuse investigations involving members, providers, and employees. The role also covers onsite audits, collaboration with legal and law enforcement, and guiding investigative processes...FraudWork at office
$112.7k - $193.2k
...all aspects of our systems and data globally. We are passionate... ...acquisitions.The Global Security Investigations program, part of UnitedHealth... ...cybersecurity risk and fraud both internal and external to... ...Security Information and Event Management (SIEM) solutions*All employees...DataFraudMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...Medica is seeking an SIU Investigator III to join our Minnetonka, MN office. This onsite role conducts complex fraud, waste and abuse investigations, performs onsite audits and provider reviews, and collaborates with Legal, Regulatory, and law enforcement partners to advance...FraudWork at office
- Target is hiring an Executive Team Leader Human Resources (Assistant Manager HR) for SW Minneapolis, MN. The role leads HR strategy, coaching, and talent... ..., business acumen, and ability to interpret financial data to guide decisions and optimize staffing and programs....Data
- ...Quality & Food Safety Manager to take the lead in ensuring... ...and food safety leader , partnering with... ...teams, and turn quality data into meaningful improvements... ..., Food Defense, Food Fraud, and allergen control... .... Lead root cause investigations and corrective/...DataFraudWork at office
- ...advanced capabilities in AI and Data, Industry and Process, and... ...working. As a Transformation Manager / Senior Manager, you will lead... ...insurance (e.g., automation, fraud detection, decision support,... ..., (b) in furtherance of an investigation, proceeding, hearing, or action...DataFraudLive inWork at officeLocal area
- ...Investigator Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making...DataFraudLocal areaNight shiftWeekend work
- Medica in Minnetonka, MN is seeking an SIU Investigator III to lead complex investigations into fraud, waste, and abuse involving members, providers, and employees. You will work with legal teams and regulatory agencies, perform on-site audits, analyze evidence, and prepare...FraudWork at office
- Huntington National Bank in Minnesota seeks an Accounting Group Manager to lead accounting/finance managers, review complex reconciliations, and analyze accounting data. The role focuses on ensuring accurate general ledger entries and strong internal controls within the...Data
- ...sides with functional insights, data power, digital leadership,... ...cost-out, strategic category management, and procurement operations.You... ...Center of Excellence leader, you will play an important role... ...charge, (b) in furtherance of an investigation, proceeding, hearing, or...DataFull timeWork experience placementLive inWork at officeLocal areaShift work
$126.82k - $149.2k
...through threat intelligence investigations in detail, and connect... ..., vulnerability management, and executive decision... ....Translate raw threat data, OSINT, vendor... ...vulnerability management, fraud, and broader cyber defense... ...briefing senior leaders, executives, or business...DataFraudFull timeLocal area3 days per week$144k - $207k
...thought and ideas, we behave like leaders regardless of title, we are... ...more than strong program management. We are looking for an experienced... ...messaging, enablement, campaigns, data, and operating mechanisms.... ...us to request accommodation. Fraud Recruitment DisclaimerIt has come...DataFraud$140k - $220k
...for local news. The Local Sales Manager (LSM) is responsible for growing... ...Matrix, Media Monitors, and qualitative data. ~ Ability to handle multiple tasks and... ...please email ****@*****.*** Recruiting Fraud Alert: To all candidates: your personal...DataFraudFull timeTemporary workPart timeLocal area$24 - $43 per hour
...with the care, pharmacy benefits, data and resources they need to feel... ...Coding Consultant is responsible for investigating and resolving instances of healthcare fraud and abuse of medical providers.... ...: Ability to prioritize and manage multiple tasks Proven ability...DataFraudHourly payMinimum wageFull timeWork experience placementLocal areaRemote workMonday to FridayWeekend work$29.25 - $48 per hour
...The Opportunity As an Investigations and Forensics Consulting Intern, you... ...forensic services to address fraud, misconduct, disputes, and... ...assessments to identify and manage risks associated with non-compliance... ...risks Engaging in data analytics to derive insights...DataFraudSummer workInternshipH1b
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