NewSpecial Education Teacher RCM Healthcare ServicesSpecial Education TeacherMonroe, MI$56–$61 / hourAs a Self-Contained Special Education Teacher, you will have the opportunity to change lives through education as you connect and work one-on-one with students needing special support to understand both their capabilities and disabilities as you develop and apply personalized learning approaches and programs that support their growth, progress, and success. At RCM Healthcare Services, we're passionate about connecting talented professionals with the right opportunities - join our network and be supported every step of the way.
NewSpecial Investigation Unit Investigator III Mitchell MartinSpecial Investigation Unit Investigator IIILos Angeles, CARemote$42.71–$55.53 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. The role requires strong analytical skills and expertise in investigative techniques, utilizing various data analysis tools.
Special Investigation Unit Investigator II (ATL) The Intersect GroupSpecial Investigation Unit Investigator II (ATL)Los Angeles, CARemote$43–$48 / hourThis position plays an important role in identifying risk patterns, supporting enforcement actions, and safeguarding healthcare program integrity through data driven insights and detailed case development. Our client operates one of the largest public health programs in the country, delivering essential services to millions while maintaining a strong focus on compliance, integrity, and accountability.
Special Investigation Unit Investigator III (ATL) The Intersect GroupSpecial Investigation Unit Investigator III (ATL)Los Angeles, CARemote$42–$55 / hourThe Special Investigation Unit Investigator III plays a critical role in protecting healthcare program integrity through the investigation of complex fraud, waste, and abuse cases. You will analyze data, conduct detailed investigations, and collaborate with internal teams and external agencies to identify suspicious activity and support enforcement actions.
NewDirector, Special Investigations Unit - AHFI SCAN Health PlanDirector, Special Investigations Unit - AHFILong Beach, CaliforniaRemoteHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. The Director, Special Investigations Unit position reports directly to the Vice President of Internal Audit Services and will have primary responsibility in the development of overall SIU strategies/infrastructure, assists the Vice President to lead and oversee the Special Investigations Unit function and SIU activities.
Special Investigations Unit (Siu) Investigator II Or III DOE Cambia HealthSpecial Investigations Unit (Siu) Investigator II Or III DOESpokane, WAWhat You Will Do at Cambia: Receives, analyzes and coordinates fraud and abuse complaints from internal sources (customer services, claims processing, underwriting, professional affairs) and external sources (members, providers, state and federal regulatory agencies, law enforcement), then conducts and coordinates moderately complex investigations with expertise across various case types, participating in post-audit exit interviews where appropriate. Maintains continuing education through anti-fraud and legal issue seminars, holds at least one professional credential (CPC, CPC-H or CPC-P), reviews pertinent articles and regulatory requirements, and provides post-audit education to providers to correct discrepancies, and trains new Investigators and other Cambia employees in detection of abusive or fraudulent billing practices.
Manager, Special Investigation Unit (ATL) The Intersect GroupManager, Special Investigation Unit (ATL)Los Angeles, CARemote$58–$63 / hourOur client operates one of the largest publicly supported healthcare programs in the country, focused on delivering high quality care to diverse and underserved communities. The Manager of the Special Investigation Unit leads investigative operations focused on identifying and mitigating fraud, waste, and abuse across multiple lines of business.
Manager - Special Investigations (SIU) Medica Health Plans IncManager - Special Investigations (SIU)Minnetonka, MN$78,700–$118,020 / yearThis position works collaboratively with the Director, Special Investigations to design and produce reports on SIU activity for other Medica business units, as well as develop educational communication to raise awareness of fraud, waste and abuse detection and prevention at Medica. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.
NewDirector of Special Investigations Health Care Service CorpDirector of Special InvestigationsChicago, IL$121,200–$225,200 / yearIn addition to directing all healthcare fraud investigations within these states, this position will oversee SID''s Enterprise-Wide Intelligence Unit, which is primarily responsible for identifying healthcare fraud schemes. Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
Special Investigation Unit Investigator III (PHX AND DALLAS) The Intersect GroupSpecial Investigation Unit Investigator III (PHX AND DALLAS)Los Angeles, CARemote$40–$50 / hourThis senior SIU role handles high?impact cases and serves as a subject matter expert, mentor, and audit lead. Join the nations largest publicly operated health plan to lead complex healthcare fraud, waste, and abuse investigations across Medi?
Canine Investigator - Office of Special Investigations Canine Division New York State Thruway AuthorityCanine Investigator - Office of Special Investigations Canine DivisionGroveland, NY$71,984–$87,704 / yearDuties Description The NYS DOCCS Office of Special Investigations (OSI) is seeking qualified candidates for consideration to serve as a Canine Investigator (and handler) in the OSI Canine Division has highly trained Canines and proficient Canine Handlers to lawfully deter, detect and interdict narcotic smuggling; electronic devices; and otherwise enhance the safety of all employees, inmates, parolees, volunteers, visitors, and others within DOCCS' system. These situations include, but are not limited to, illegal drug searches, sniffing vehicles in DOCCS' parking lots, sniffing people, patrolling entry points or other areas of correctional facilities or Community Supervision offices, sniffing packages, searching for people, and otherwise assisting in OSI investigations as warranted.
NewRegulatory and Special Investigations Agent Muckleshoot Indian TribeRegulatory and Special Investigations AgentAuburn, WashingtonFull timeMAJOR TASKS AND RESPONSIBILITIES: Monitors and observes gambling and related activities at all gaming operations under the Muckleshoot Gaming Ordinance to ensure compliance with local, state, federal law, other applicable controls and the terms of the Tribal-State Compact. Assists with presenting evidence and testimony regarding licensee or gaming operations violations in a courtroom setting at the tribal, state and federal levels as required.
Special Investigations Unit Investigator CareOregon IncSpecial Investigations Unit InvestigatorTX$74,250–$90,750 / yearStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
NewClaims Service Representative 3 - Special Investigations Unit AAAClaims Service Representative 3 - Special Investigations UnitLincoln, Rhode IslandWith our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. The position requires a higher degree of discretion and independent judgment in analysis, problem solving, and time management to effectively manage investigations.
Special Investigations Unit Clinical Certified Coder Metroplus Health Plan IncSpecial Investigations Unit Clinical Certified CoderNew York, NY$100,000–$110,000 / yearMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics.
NewSpecial Investigations Unit Investigator CareOregonSpecial Investigations Unit InvestigatorOregonStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
NewSpecial Investigations Unit Pre Pay Coding Consultant UnitedHealth Group IncSpecial Investigations Unit Pre Pay Coding ConsultantPlymouth, MA$24–$43 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Special Investigations Unit Pre Pay Coding Consultant at UnitedHealth Group ","FormTypeId":null,"UrlLanguageCode":null,"PreviewType":0,"DateCreated":"2026-03-13T13:45:39.5319907","DateUpdated":"2026-07-13T17:56:15.0506395"}, "site"); Caring.
NewSpecial Investigation Unit Investigator Centene Management CompanySpecial Investigation Unit InvestigatorCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field.
Assistant Attorney General, Special Investigations and Actual Innocence Commonwealth of VirginiaAssistant Attorney General, Special Investigations and Actual InnocenceRichmond, VATitle: Assistant Attorney General, Special Investigations and Actual Innocence State Role Title: Assistant Attorney General Hiring Range: Commensurate with Experience Pay Band: UG Agency: Attorney General & Dept of Law Location: Office of the Attorney General Agency Website: https://www.oag.state.va.us Recruitment Type: General Public - G. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI).
NewManager, Special Investigations Unit Medical Record Audit Inland Empire Health PlanManager, Special Investigations Unit Medical Record AuditRancho Cucamonga, California$118,601.60–$157,144 / yearFull timeUnder the direction of the Vice President of Compliance, and in close partnership with the Special Investigations Unit (SIU) Manager, the SIU Medical Record Audit Manager provides leadership and strategic direction for IEHP’s prepayment and post-payment medical record audit functions within the Fraud, Waste, and Abuse (FWA) framework. Prepayment Review Performance Lead end to end prepayment medical record review operations, including documented criteria for placing and releasing providers, turnaround compliance within claims payment timeframes, yield optimization, false positive monitoring, inventory aging, and scheduled reassessment and exit decisions.