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
- ...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
- Special Investigative Unit (SIU) Investigator responsible for investigating reports of non- compliance with corporate and regulatory policies, including reports of fraud, waste, or abuse. As a member of the SIU... ...years of experience in healthcare, pharmacy technician, claims...FraudLocal areaShift work
$48.82k - $77.27k
...Fraud Investigator Location: Troy, MI 48098 The Enterprise Fraud Investigator is responsible for conducting comprehensive investigations... ...as required. Consistently adheres to regulatory and compliance policies and standards linked to the job as listed and complete...FraudWork experience placementLocal area$19.34 - $31.22 per hour
Check Fraud Detection Analyst Location: Troy, MI 48098 Job Summary The Fraud Detection... ...account flags, and service restrictions. Investigate suspicious transactions and escalating... ...responsibilities as required. Maintain Sarbanes-Oxley compliance and adhere to internal control policies...FraudHourly payWork at office- ...Village MI. JOB SUMMARY: The Card Fraud Specialist is responsible for providing... ...revenue enhancement. Responsible for investigating, researching, and processing Debit/ATM... ...members. Regulations/Legal Ensures compliance with rules and regulations governing...FraudLocal area
- Flagstar Bank is seeking a Fraud Detection Analyst in Troy, MI. This role involves analyzing fraud detection reports and making risk-based decisions to protect the bank's assets from fraudulent activities. The analyst will document findings, respond to inquiries from stakeholders...Fraud
- 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....
- Joysonsafety in Auburn Hills is seeking a Compliance Investigator to lead investigations across multiple jurisdictions. This role supports compliance with JSS’s Code of Ethics and company policies. Experience in handling complex investigations, and a degree in law or accounting...
- Compliance Investigator Company: Joysonsafety Job Function: SG&A Job Type: Location: Auburn Hills, US Requisition ID: 3030 Together We Saves Lives by Innovation! The keys to success are yours at Joyson Safety Systems! We are a global leader in design, development and...H1bLocal areaWorldwide
$20.5 per hour
...Enforcement Officer to help maintain property values within the city. This role involves investigating maintenance complaints and communicating with residents to ensure compliance with property codes. Responsibilities include independent inspections, maintaining records...Hourly payPart time- Reports To: Desktop Investigations Manager Location: Troy, MI / Remote Employment Type: Full-Time Summary of Role and Position Desktop Investigators... ...investigative reports in support of ongoing surveillance / SIU investigations and/or as a standalone service . The ideal...Full timeWork at officeRemote workHome office
- Overview Together We Saves Lives by Innovation! The keys to success are yours at Joyson Safety Systems! We are a global leader in design, development and manufacturing of safety-critical systems and components for automotive and non-automotive markets. We are dedicated ...Worldwide
- Joyson Safety Systems, headquartered in Auburn Hills, Michigan, is seeking passionate professionals to join their team. As a global leader in safety-critical systems for automotive and non-automotive markets, we prioritize innovation, quality, and collaboration. With a ...
- ...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...FraudFull timeWork at officeMonday to FridayShift workDay shift
- ...competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at... ...redacting or removing this information. Beware of Recruitment Fraud DaVita will never ask for payment or personal financial information...FraudMinimum wageFlexible hoursDay shiftAfternoon shift
$20 per hour
...growing security company. Established in 1995, we began as an investigations firm and quickly expanded to provide uniform security, event staff... ...been convicted of any misdemeanors related to dishonesty, fraud, impersonation of law enforcement, assault, weapons, unauthorized...FraudFull timePart timeLong distanceShift workDay shiftAfternoon shift3 days per week- ...including Microsoft Office. Knowledge in healthcare systems operations and experience in... ...benefits. Regularly adheres and supports compliance and accreditation efforts as assigned... ...for Parts C & D on General Compliance and Fraud, Waste & Abuse. Complies with HR confidentiality...FraudWork at officeShift work
- ...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
- ...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
- Stellantis in Auburn Hills, MI is seeking an Investigator to evaluate issues related to vehicle safety and regulatory compliance. The role involves leading discussions with stakeholders, assessing Global Issue Management (GIMs), and ensuring documentation of decisions....
- ...seeking an Asset Protection Specialist in Southfield, Michigan. This role focuses on preventing financial loss from theft and fraud, ensuring compliance with safety and environmental programs. The specialist will utilize tools to minimize loss and prepare detailed reports...Fraud
- The Home Depot is seeking an Asset Protection Specialist to prevent theft and fraud, support safety programs, and protect store assets. You will review CCTV footage, monitor security systems, and drive shrink elimination across assigned stores. You will prepare detailed...Fraud
- ...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
- ...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
- ...analysis to maximize market penetration and account performance, in compliance with state and federal regulations, company policies and... ...& Bank Policies & Procedures for the prevention of loss due to fraud, counterfeiting, money laundering, or defalcation; Identify and...FraudWork at officeLocal areaNight shift
$93k - $116k
...interaction with patients, families, and healthcare teams Pay Range $93,000 - $116,00... ...roles ~ Pet Insurance ~ ID and Fraud Protection ~ And more... Background... ...Term Care Partnership, and is performed in compliance with the Fair Credit Report Act....FraudTemporary workWork at officeMonday to Friday$63k - $78k
...coverage Minimum of one year experience in healthcare Medical Social Work skills are as... ...Program for field roles Pet Insurance ID and Fraud Protection And more... Employment is... ...Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable...FraudTemporary workWork at officeMonday to Friday$80k - $90k
...Bring your nursing expertise to one of healthcare's most meaningful specialties. As a Hospice... ...roles ~ Pet Insurance ~ ID and Fraud Protection ~ And more... Background... ...Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable...FraudTemporary workWork at officeMonday to FridayWeekend work- ...competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at... ...redacting or removing this information. Beware of Recruitment Fraud DaVita will never ask for payment or personal financial information...FraudMinimum wageStart working today
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