Remote SIU Coordinator — Health Plan Investigations
Martin’s Point Health Care
- Remote job
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, perform preliminary research, coordinate records requests, and generate routine reports to inform leadership. Join a not-for-profit organization committed to trust, learning, and serving the community. This entry-level investigative role offers growth into a clinical investigations path while supporting #J-18808-Ljbffr Martin’s Point Health Care
- 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 claims...Remote jobHealth Insurance
- 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 jobHealth Insurance
$65.73k - $81.19k
Join Martin's Point Health Care - an innovative, not-for-profit... ...2015. Position Summary The SIU Coordinator provides operational, administrative... ...support to the Special Investigations Unit (SIU) across the... ...Advantage and US Family Health Plan lines of business. The Coordinator...Remote jobHealth Insurance$75.58k - $93.37k
...Join Martin's Point Health Care - an innovative, not-for-profit... ...Position Summary The SIU Investigator looks into suspected fraud,... ...of Martin’s Point’s health plans: Generations Advantage and the... ...Coverage Determinations Coordinates clinical and coding review...Remote workHealth InsuranceFull timeFor contractorsWork at officeLocal area$64.83k - $94.55k
...We're hiring a Senior Analyst, SIU Investigator to join our SIU team. Oscar is the first health insurance company built around a... ...Location : This position is fully remote and open to candidates residing... ..., paid parental leave, 401(k) plan participation, life and disability...Remote workHealth InsuranceFull timeWork from homeHome office- ...SIU Investigator Department: SIU Employment Type: Full Time Location: Headquarters... ...may not use or disclose any protected health information, except as otherwise permitted... ...and career development initiatives ~ Remote work eligible REMOTE WORK...Remote workHealth InsuranceFull timeFlexible hours
- Peraton is seeking a Fraud Investigator Coordinator for SafeGuard Services (SGS) to join the Insurance/Healthcare investigations team. You will conduct fraud investigations, interview subjects, and refer cases to law enforcement as needed, providing subject matter expertise...Remote jobHealth InsuranceCasual work
$63k - $91.5k
...SIU Investigator The SIU Investigator is responsible for the accurate detection and in-depth... ...decision-making. Performs field work and coordinates efforts with industry fraud units,... ...Reimbursement ~ Low cost and excellent coverage health insurance options that start on Day 1 (...Remote workHealth InsuranceWork at officeWork from home- Plymouth Rock Assurance in Boston, MA is seeking an experienced SIU Investigator to detect fraud in auto and property claims. You will conduct... ...North of Boston coverage, with benefits including PTO, health insurance from day one, tuition reimbursement, and a strong anti...Remote jobHealth Insurance
$62.1k - $105.3k
...needs. We offer home, auto and accident and health insurance, as well as other specialty... ...Job Description The Special Investigative Unit Senior Consultant II is responsible... ...referred to the Special Investigative Unit (SIU) for potential fraud. The role typically...Remote workHealth InsuranceContract workWork at officeWork from homeVisa sponsorshipWork visa$105k - $110k
...Overview The SIU – Complex Major Case Investigator is a cornerstone of our fraud defense... ...in all matters. #LI-EF1#LI-REMOTE Qualifications Qualifications... ...include: Medical & Dental Plans, Life Insurance, including... ...spouses & children, Health Care Flexible Spending,...Remote workHealth InsuranceFull timeWork at officeFlexible hours- ...is a leading insurance claims investigation and medical management... ...Special Investigations Unit (SIU) Team Lead to join our team.... ...Lead oversees a team of SIU coordinators, schedules, coordinates, prepares... ...Fluent in Spanish and English REMOTE WORK & BENEFITS This is a 100...Remote workHealth InsuranceFull timeTemporary workLocal areaWork from homeVisa sponsorship
$56.2k - $101k
...SIU Investigator### SIU InvestigatorApply: Remote-TX: Full time: Posted Yesterday: 1670826**Position... ...external agencies to coordinate investigative activities... ...Administration, Public Health, or a related field; or... ...401K and stock purchase plans, tuition reimbursement,...Remote workHealth InsuranceFull timePart timeWork at officeFlexible hours$62.1k - $105.3k
SIU Field InvestigatorThis website uses cookies and similar technology... ...InvestigatorApply: Fully Remote Location Specific: IL -... ...home, auto and accident and health insurance, as well as other specialty... ...Job Description**The Special Investigative Unit Senior Consultant I is...Remote workHealth InsuranceFull time$79.56k - $115.72k
...Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies... ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA)... ...schedule, generally 8:30-5:00 PM Eastern Time Remote workspace requirements, including...Remote workHealth InsuranceFull timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift work$48.32k - $82.39k
...: Centene Pharmacy Services is hiring a remote Grievance & Appeals Coordinator II. The ideal candidate will have experience investigating and resolving expressions of dissatisfaction... ...Services-internal teams and our Health Plan partners. ~ Review and process member...Remote workHealth InsuranceHourly payFull timePart timeWork at officeFlexible hours$19 per hour
...Insurance Verification Coordinator The Insurance Verification Coordinator... ...insurance and benefits investigation with high-volume patient and... ...benefits directly from health plans and clearly communicating those... ...Type: This is a fully remote position. About Actalent:...Remote workHealth InsuranceContract workTemporary workMonday to Friday$20 - $24 per hour
At LifeStance Health, we strive to help individuals... ...Insurance Verification Coordinator is responsible for the... ...work effectively in a remote, high-volume,... ...state-sponsored health plans. Perform ongoing re-verifications... ...discrepancies. Investigate and evaluate necessary...Remote workHealth InsuranceHourly payFull timeTemporary workLocal area$56.2k - $101k
...Centene is transforming the health of our communities,... .... Position Purpose: Investigate allegations of... ...abuse activity. Assist in planning, organizing, and executing... ...of investigations and coordinate with Health Plans on... ...approach to work with remote, hybrid, field or office...Remote jobHealth InsuranceFull timePart timeWork at officeFlexible hours- 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 jobWork from home
$80.16k - $90.23k
...Nursing Director, the MDS Coordinator is ultimately... ...assessment, and care plan development of the revisions... ...utilizing managed care, health maintenance... ...suspended and/or under investigation. OUTAGAMIE COUNTY... ...I understand that remote work is not available...Remote workHealth InsuranceFull timeTemporary workLocal areaImmediate startMonday to FridayFlexible hoursShift work$22.97 - $31.07 per hour
...Material Coordinator Seize your opportunity to make a personal... ...system, using remote-control panel board, compute... ...Tier 1 Background Investigation and must be a US Person... ...match Comprehensive health and wellness packages... ...a variety of medical plan options, some with Health...Remote workHealth InsuranceHourly payPermanent employmentTemporary workFlexible hours$48.9k - $60.59k
...is a modern behavioral health practice creating a... ...Octave Credentialing Coordinator, you will play a vital... ...Interact with health plans as needed to ensure accurate... ...incentives. Remote Work Stipend: New full... ...in furtherance of an investigation, proceeding, hearing,...Remote workHealth InsuranceFull timeHome officeMonday to Friday$22.97 - $31.07 per hour
...Material Coordinator Seize your opportunity to make a personal... ...system, using remote-control panel board, compute... ...Tier 1 Background Investigation and must be a US Person... ...match Comprehensive health and wellness packages... ...a variety of medical plan options, some with Health...Remote workHealth InsuranceHourly payPermanent employmentTemporary workImmediate startWorldwideFlexible hours$55k - $60k
Remote, United States | Claims Experience | Full-time... ...looking for an experienced SIU Investigator to help protect honest... ...accident rings, and coordinated medical billing schemes... ...includes comprehensive health & wellness coverage, equity, a 401(k) plan with employer match, 20...Remote workHealth InsuranceFull timeWork at officeVisa sponsorshipWork visa- 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 jobHourly payFull timePart timeWork from home
- VRC Investigations in Mobile, AL seeks experienced SIU investigators for part-time, work-from-home roles within our Special Investigations Unit. This hybrid position requires travel within the city and state and involves interviewing, evidence collection, and detailed...Remote jobPart timeWork from home
- VRC Investigations is seeking experienced, self-determined SIU Investigators for part-time and hybrid roles in the Boston area. Positions involve home-based work with required travel within the city/state and a competitive hourly wage of $30-$35, bi-weekly pay, and full...Remote jobBi-weekly payHourly payPart timeWork from home
- ...Tuition assistance Job Summary: The SIU Field Investigator is responsible for investigating the facts... ...split consists of approximately 60% remote/desktop investigations and 40% local field... ...case status, field findings, and plan of action updates. Required Skills & Abilities...Remote workHealth InsuranceLocal areaFlexible hoursAfternoon shift
- ...Materials Coordinator V Fairweather is a trusted service provider... ...specialized solutions in remote and Arctic environments.... ...: Federal Employee Health Benefits (FEHB) plans, including medical, dental... ...inventory counts, discrepancy investigation, corrective actions, and documentation...Remote workHealth InsuranceContract workTemporary workFor contractorsWork at officeFlexible hours
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