Healthcare SIU Investigator - Fraud & Compliance
Health Alliance Plan
Health Alliance Plan is seeking a Special Investigative Unit (SIU) Investigator in Troy, Michigan. The successful candidate will investigate non-compliance reports, conduct audits, and analyze data to support fraud prevention efforts. This role requires strong analytical and communication skills to collaborate with various stakeholders and present findings effectively. Applicants should have a Bachelor’s degree and significant experience in healthcare investigations or related fields. Certifications such as CFE or AHFI are required. The position offers a comprehensive benefits package and a supportive work environment. #J-18808-Ljbffr Health Alliance Plan
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Healthcare SIU Investigator - Fraud & Compliance in Troy, MI vacancy
- ...seeking a Health Plan Special Investigative Unit Investigator to investigate reports of fraud, waste, and abuse. This role requires... ...and significant experience in healthcare investigations. Proficiency in... ...required. Join us in ensuring compliance and integrity within...Fraud
- GENERAL SUMMARY:Special Investigative Unit (SIU) Investigator responsible for... ...investigating reports of non- compliance with corporate and... ...policies, including reports of fraud, waste, or abuse. As a member... ...(3) years of experience in healthcare, pharmacy technician, claims...FraudLocal area
- ...Compliance And Accreditation Specialist About Corewell Health... ...compliance and/or accreditation investigations in the clinical environment... ...activities, and potential or actual fraud, waste or abuse. Supports... ...and standards impacting healthcare delivery and reimbursement....Fraud
- ...Special Investigator The Special Investigations auditor is dedicated to conduct, with minimal to no oversight from the VWGoA Chief Audit Executive (CAE), the investigation of cases of potential fraud originating from the whistleblower channel, regular internal audit...FraudWork experience placementLocal area
Volkswagen Group
Auburn Hills, MI5 days ago - ...Description Job Description LEGACY HEALTHCARE MANAGEMENT Job Description Title: Corporate Compliance Officer Reports to: CEO... ...identify systemic risks. Investigations Manage confidential... ...Investigate allegations involving: Fraud Waste Abuse HIPAA...FraudWork at officeLocal area
Pioneer Health Care Management Inc
Franklin, MI28 days ago - AD Mortgage LLC is seeking a Corporate Investigations & Insider Risk Specialist in Troy, MI. The role involves leading investigations into misconduct and fraud, developing insider risk programs, and collaborating with cross-functional teams. A Bachelor's degree and 5+...Fraud
- ...and/or lead in the performance of Insurance Operations audits of Profit Centers in the Retail Employee Benefits Division to verify compliance with Brown & Brown best practices. Build knowledge of and support audits of Wholesale/Programs divisions, as applicable. Complete...
- ...Asset Protection Specialist to minimize financial loss and ensure compliance with safety programs in stores. This role includes monitoring... ...with law enforcement concerning incidents of theft and fraud. Candidates should possess a keen eye for detail and strong integrity...Fraud
The Home Depot
Warren, MI2 days ago $60 per hour
...IQVIA/MedTech takes the approach to helping customers drive healthcare forward in this challenging, fast-paced environment. We help customers... ...process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application...FraudHourly payFull timePart timeImmediate startWorldwideNight shiftWeekday work- ...records are accurate and complete for all patients. Ensures compliance of healthcare regulations, medical laws and high ethical standards.... ...& CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse. Performs other position related duties as...FraudWork at officeShift workDay shift
- ...through a culture of integrity, accountability, and compliance. We are seeking an experienced Corporate Investigations & Insider Risk Specialist to lead investigations... ...insider threats, information security incidents, fraud, conflicts of interest, and other activities that...FraudFull timeWork at officeMonday to Friday
AD Mortgage
Troy, MIa month ago $55k - $115k
...important partners in our success, ensuring accuracy, consistency, and compliance across all financial operations. With a focus on collaboration,... ...& Controls: Monitor operational income statements, conduct fraud prevention reviews, and ensure adherence to internal controls...FraudTemporary work- ...matters, transportation law and litigation practice including PIP and SIU experience.Proficiency in the independent handling of litigation files such as commercial auto, PIP fraud investigations, premises liability, general negligence, property damage, construction...FraudLocal area
Plunkett Cooney, P.C
Bloomfield Hills, MI8 days ago - A leading insurance company is seeking a Legal Billing Auditor to review and audit legal invoices for compliance and accuracy within the insurance defense sector. Candidates should have a minimum of 3 years of experience in legal billing review and a strong understanding...
- ...needed Maintain equipment and ensure compliance with safety protocols Collaborate with... ...package, which includes a 401k match, healthcare coverage and a broad range of other benefits... ...information. Beware of Recruitment Fraud DaVita will never ask for payment...FraudMinimum wageFlexible hoursShift work
DaVita
Roseville, MI1 day ago $120k - $130k
...clinical and technological infrastructure to realize a future of healthcare untethered. We have a rapidly growing team of visionary leaders... ...the lives of people, apply today! Beware of recruitment fraud and scams that involve fictitious job descriptions followed by...FraudPart timeSprinter Health
Pontiac, MI14 days ago$93k - $116k
...interaction with patients, families, and healthcare teams Pay Range $93,000 - $116,000... ...field roles ~ Pet Insurance ~ ID and Fraud Protection ~ And more...... ...Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable...FraudTemporary workWork at officeMonday to Friday$93k - $116k
...interaction with patients, families, and healthcare teams Pay Range: $93,000 - $116,000 USD... ...for field roles Pet Insurance ID and Fraud Protection And more… Employment is contingent... ...Care Partnership, and is performed in compliance with the Fair Credit Report Act....FraudTemporary workWork at officeMonday to Friday$93k - $116k
...interaction with patients, families, and healthcare teams Pay Range $93,000-$116,000 USD How... ...field roles Pet Insurance ID and Fraud Protection And more... Employment is contingent... ...Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable...FraudTemporary workWork at officeMonday to Friday- ...Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses.Life & Disability Insurance: Employer-paid basic life... ...Perks:Employee Assistance Program (EAP)Identity Theft & Fraud ProtectionLegal Support ServicesDiscount Programs (including pet...FraudFull timeTemporary workPart timeWork experience placementWork at officeImmediate startFlexible hoursWeekend workAfternoon shift
ProSmile
Warren, MI2 days ago - ...holidays Preferred: CNA, MA, CHT, phlebotomy certification, or healthcare experience What We Offer Paid training with... ...redacting or removing this information. Beware of Recruitment Fraud DaVita will never ask for payment or personal financial information...FraudMinimum wageLocal areaFlexible hoursShift workDay shiftAfternoon shift
DaVita
Southfield, MI2 days ago - ...Accountable for escalating unusual activity, unresolved discrepancies, fraud concerns, legal matters, or higher-risk items to Deposit... ...may be considered. *This position will comply with all BSA compliance laws and regulations including the Bank’s BSA policy and procedures...FraudFull timeWork at office
Oxford Bank
Auburn Hills, MIa month ago - ...Protection Specialist responsible for minimizing financial loss from theft and fraud. The role involves monitoring physical security, preparing detailed reports on incidents, and ensuring safety compliance. Candidates should be ready to interact with law enforcement and...Fraud
The Home Depot
Rochester Hills, MI2 days ago $21 - $25 per hour
...coordinating multiple priorities in a fast-paced healthcare environment. You'll manage patient... ...ensure timely admissions and regulatory compliance. Through strong communication, accuracy,... ...roles ~ Pet Insurance ~ ID and Fraud Protection ~ And more... Background...FraudTemporary workMonday to FridayWeekend work$93.5k - $115k
...seamless care coordination, regulatory compliance, and operational success. Your expertise... ...Knowledge of business management and healthcare operations Understanding of governmental... ...field roles ~ Pet Insurance ~ ID and Fraud Protection ~ And more... Background...FraudTemporary workWork at officeRelocation packageMonday to FridayOptimal Care
Bingham Farms, MI2 days ago- ...completed. Regularly adheres and supports compliance and accreditation efforts as assigned... ...Parts C & D on General Compliance and Fraud, Waste & Abuse. Performs other position... ...| SKILLS | ABILITIES Knowledge of healthcare field and medical office protocols/procedures...FraudWork at office
Michigan Institute of Urology
Saint Clair Shores, MI19 days ago $21 - $25 per hour
...coordinating multiple priorities in a fast-paced healthcare environment. You’ll manage patient... ...ensure timely admissions and regulatory compliance. Through strong communication, accuracy,... ...field roles Pet Insurance ID and Fraud Protection And more Background Screening...FraudTemporary workWork at officeMonday to FridayWeekend work$21 - $25 per hour
...coordinating multiple priorities in a fast-paced healthcare environment. You'll manage patient... ...ensure timely admissions and regulatory compliance. Through strong communication, accuracy,... ...roles ~ Pet Insurance ~ ID and Fraud Protection ~ And more... Background...FraudTemporary workWork at officeMonday to FridayWeekend workOptimal Care
Bingham Farms, MI28 days ago$70k - $90k
...reviewing and auditing legal invoices from outside counsel to ensure compliance with billing guidelines, accuracy of charges, and proper... ...benefits such as legal services, pet insurance, and identity & fraud protection. 24/7 Employee Assistance Program (EAP) for employees...FraudWork at officeLocal areaRemote workFlexible hours1 day per week- ...Township, Michigan, 48051, United States of America No previous healthcare experience required - Paid Dialysis Training provided! *... ...redacting or removing this information. Beware of Recruitment Fraud DaVita will never ask for payment or personal financial information...FraudMinimum wageFull timeSeasonal workFlexible hoursWeekend workAfternoon shift3 days per weekEarly shift
DaVita
Chesterfield, MI5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare SIU Investigator - Fraud & Compliance. Be the first to apply!
Related searches
- housing investigator Troy, MI
- financial fraud Troy, MI
- fraud prevention Troy, MI
- healthcare student Troy, MI
- healthcare data scientist Troy, MI
- healthcare administration Troy, MI
- united healthcare Troy, MI
- quality manager healthcare Troy, MI
- registered nurse healthcare Troy, MI
- healthcare coordinator Troy, MI