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?
Special Investigation Unit Investigator III L.A. Care Health PlanSpecial Investigation Unit Investigator IIILos Angeles, CAThe Special Investigation Unit Investigator III performs in-depth evaluation of potential fraud & abuse cases and develops complex investigations that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for fraud, waste & abuse. claims history, provider files) to determine provider billing patterns and detect potential fraudulent or abusive billing practices or vulnerabilities in Medi-Cal/Medicare policies and initiates appropriate action.
Special Investigation Unit Investigator III Solugenix CorporationSpecial Investigation Unit Investigator IIILos Angeles, CAFor description, see this url: https://www.solugenix.com/jobs?job_id=z5G7h3l6a1kMvyS65NP3czKXq-k0Kn3mXVCJFABRYuU =.
Crime Scene Investigation Bureau Manager City of FresnoCrime Scene Investigation Bureau ManagerFresno, CA$109,800–$133,764 / yearDROP (Deferred Retirement Option Program):an optional, voluntary program that allows an employee to deposit retirement benefits in a special savings account within the Retirement System while continuing to work for the City of Fresno for up to 10 years. The incumbent plans, schedules, and supervises the activities of personnel involved in the investigation of crime scenes, crime scene photography, processing evidence, the identification of criminal subjects through automated technology and the processing and identification of prisoners.
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 Agent in Charge - Special Response Team (SRT) (San Bernardino, CA) Burlington Northern Santa Fe LLCSpecial Agent in Charge - Special Response Team (SRT) (San Bernardino, CA)San Bernardino, CA$174,600–$194,000 / yearDaily work is conducted in a safety sensitive environment where the working conditions can include diverse and extreme weather conditions, walking and performing work on uneven surfaces, working around loud noises, fumes, and heavy/moving machinery. This department employs comprehensive strategies and state-of-the-art technology to safeguard the transportation of goods, prevent theft, and mitigate risks associated with railway operations.
Special Agent in Charge - Special Response Team (SRT) (Barstow, CA) Burlington Northern Santa Fe LLCSpecial Agent in Charge - Special Response Team (SRT) (Barstow, CA)Barstow, CA$174,600–$194,000 / yearDaily work is conducted in a safety sensitive environment where the working conditions can include diverse and extreme weather conditions, walking and performing work on uneven surfaces, working around loud noises, fumes, and heavy/moving machinery. This department employs comprehensive strategies and state-of-the-art technology to safeguard the transportation of goods, prevent theft, and mitigate risks associated with railway operations.
NewTechnical Analysis and Investigation Engineer Kia CorpTechnical Analysis and Investigation EngineerIrvine, CA$77,105.26–$110,272 / yearReview and assess NHTSA EWR trend investigations, complaints, and investigations, Kia field data analyses, QIRs, Field Reports, Techline and Customer Care cases, Warranty data, driving and event data, and stakeholder findings related to assigned safety investigations. Technical Analysis Engineers lead and support vehicle and component investigations for the Kia North America Safety Office's goal to quickly detect and assess potential safety issues of Kia vehicles in the field.
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.
Special Agent - Special Response Team (SRT Operator) (Los Angeles, CA) Burlington Northern Santa Fe LLCSpecial Agent - Special Response Team (SRT Operator) (Los Angeles, CA)Los Angeles, CA$150,000–$166,000 / yearSF: MO | [[mfield5]] | Operations - Resource Protection | Los Angeles, CA | 90001, 90002, 90003, 90004, 90005, 90006, 90007, 90008, 90009, 90010, 90011, 90012, 90013, 90014. Daily work is conducted in a safety sensitive environment where the working conditions can include diverse and extreme weather conditions, walking and performing work on uneven surfaces, working around loud noises, fumes, and heavy/moving machinery.
Special Agent - Special Response Team (SRT Operator) (Barstow, CA) Burlington Northern Santa Fe LLCSpecial Agent - Special Response Team (SRT Operator) (Barstow, CA)Barstow, CA$150,000–$166,000 / yearDaily work is conducted in a safety sensitive environment where the working conditions can include diverse and extreme weather conditions, walking and performing work on uneven surfaces, working around loud noises, fumes, and heavy/moving machinery. This department employs comprehensive strategies and state-of-the-art technology to safeguard the transportation of goods, prevent theft, and mitigate risks associated with railway operations.
Special Agent - Special Response Team (SRT Operator) (San Bernardino, CA) Burlington Northern Santa Fe LLCSpecial Agent - Special Response Team (SRT Operator) (San Bernardino, CA)San Bernardino, CA$150,000–$166,000 / yearDaily work is conducted in a safety sensitive environment where the working conditions can include diverse and extreme weather conditions, walking and performing work on uneven surfaces, working around loud noises, fumes, and heavy/moving machinery. This department employs comprehensive strategies and state-of-the-art technology to safeguard the transportation of goods, prevent theft, and mitigate risks associated with railway operations.
Special Agent - Special Agent Talent & Achievement Recruitment (STAR) U.S. Department of Homeland SecuritySpecial Agent - Special Agent Talent & Achievement Recruitment (STAR)San Francisco, CA$48,854–$118,204 / yearEducation - If you have earned a college degree or if you are qualifying based on education or you are qualifying based on a combination of education and experience or are claiming Superior Academic Achievement (overall grade point average of 3.0 or higher out of a possible 4.0 recorded on the unofficial college/university transcript to qualify at the GL-07 level as explained in the Qualifications section) you must submit a copy of your college/university transcript (unofficial is acceptable) which must show school name, students name, credit earned, degree and date awarded. Specialized experience is defined as experience writing non-technical reports, drafting responses to requests for information and writing brief informative or routine reports; gathering information, analyzing it and summarizing the results of your findings; taking responsibility for own actions to meet deadlines; presenting specific pre-determined information at meetings, conferences or seminars as a representative of a work or academic group.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)CA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Manager, Special Investigations Unit L.A. Care Health PlanManager, Special Investigations UnitLos Angeles, CAProvide leadership to investigators and be accountable for tracking KPI's, metrics, recovery and savings, etc., provides feedback to staff on performance, resolves problems, provides guidance to team members when needed and takes necessary steps to address poor performance including corrective action up to termination. Manage the day to day operations of the SIU by leading team of investigators, driving key initiatives across the team to improve processes and generate incremental F&A opportunities, and executing the overall strategic direction of the SIU.
Investigator, Special Investigative Unit Coding (Remote) Molina Healthcare IncInvestigator, Special Investigative Unit Coding (Remote)CARemoteWorking knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
SPECIAL AGENT State Of CaliforniaSPECIAL AGENTSacramento, CA$9,006–$12,576 / yearThis recruitment may also result in the hiring of Special Agents within the OIA regional offices of North & North Valley or other Headquarters Operations units, to include but not limited to, Forensics Analysis & Support Team (FAST), Special Investigations Unit (SIU), Central Intake Unit (CIU). The California Department of Corrections and Rehabilitation (CDCR) and the California Correctional Health Care Services (CCHCS) are committed to transforming the correctional landscape to create safer, more professional, and more fulfilling environments for our employees, the incarcerated population, and those supervised in our communities.
Manager of Special Investigations Unit Solugenix CorporationManager of Special Investigations UnitLos Angeles, CAFor description, see this url: https://www.solugenix.com/jobs?job_id=z5G7h3l6a1kMvyS65NP3c1ZCioo-Fra52P8QEbvjayc =.
SPECIAL INVESTIGATOR State Of CaliforniaSPECIAL INVESTIGATORFresno, CA$5,528–$9,037If you are unable to apply electronically through your CalCareer account, please mail a completed and signed State Examination/Employment Application STD Form 678 and application package to the mailing address provided in the "Application Instructions" section below and ensure the following: Clearly indicate the Job Code #, Position Number and the Title of this position in the "Examination or Job Title(s) For Which You Are Applying" section located on the first page of your State Examination/Employment Application STD Form 678. Individuals appointed to this classification perform a variety of duties, such as processing, preserving and collecting evidence, obtaining statements from witnesses, victims and suspects; and preparing cases, including identifying suspects, recommending charges, and collecting supporting evidence.
NewSubstitute Paraeducator - Special Education Fresno County Office Of EducationSubstitute Paraeducator - Special EducationFresno, CAUnder the direction of an assigned supervisor, provide instructional support and assistance to teachers, Master Teachers and students assigned to a designated special education, court school or preschool programs in the absence of an assigned employee and/or assigned to provide additional support as needed; perform a variety of support activities related to behavior management and classroom instruction of students; perform a variety of general clerical support duties related to classroom and program activities. Test Results/Materials (Must provide a copy of one of the following documents: 1) Associates or Bachelor degree; OR 2) transcripts demonstrating completion of 48 semester units; OR 3) Paraeducator Examination Certificate; OR 4) California Basic Education Skills Test).