Investigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)CT$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)CT$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)CT$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Healthcare Compliance Investigator, Yale Health Yale UniversityHealthcare Compliance Investigator, Yale HealthNew Haven, CT$92,000–$146,750 / yearMaster's Degree; Bachelor's degree in criminal justice, healthcare or public administration, English or related field of study; Previous experience as an investigator in a healthcare environment; 6+ years progressive experience in conducting and managing complex investigations or auditing and risk analysis; 6+ years' experience reading, analyzing and interpreting State and Federal laws, rules and regulations; Certified in Healthcare Compliance (CHC); Certified in Healthcare Privacy Compliance (CHPC); Certified Compliance & Ethics Professional (CCEP) or similar certification. Healthcare workers (HCW) are defined as university employees working a healthcare setting who have the potential for direct or indirect exposure to patients, human research subjects or infectious materials including body substance, contaminated medical supplies, devices and equipment, surfaces, or air.
Investigator, Asset Protection(Milford, CT)-A&F Co. A&F StoresInvestigator, Asset Protection(Milford, CT)-A&F Co.Milford, ConnecticutAbercrombie & Fitch Co. operates stores under these brands across North America, Europe, Asia and the Middle East, as well as the e-commerce sites abercrombie.com, abercrombiekids.com and hollisterco.com. The company operates a family of brands, including Abercrombie brands and Hollister brands, each sharing a commitment to offer products of enduring quality and exceptional comfort that support global customers on their journey to being and becoming who they are.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorHartford, ConnecticutVRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
Investigator Ethos Risk ServicesInvestigatorNew Haven, CTFull timePrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
SIU Claims Investigator - Spanish Speaker Lemieux & Associates LLCSIU Claims Investigator - Spanish SpeakerStamford, CT$25–$32 / hourPart timeOur leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise.
Surveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorNorth Haven, CT$25–$32 / hourFull timeOur leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise.
Director, Special Investigations Unit CVS Health CorpDirector, Special Investigations UnitHartford, CT$100,000–$231,540 / yearReporting to the SIU Executive Director, the Investigative Lead Director is responsible to detect, investigate, and mitigate Fraud, Waste and abuse across our Commercial and Medicare business lines. Provides guidance to and ensures training for Managers and investigators regarding obtaining evidence, sufficiency of evidence, investigative interviews, and other investigatory techniques and practices.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)CT$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.
Special Agent U.S. Department of Homeland SecuritySpecial AgentCT$48,854–$118,204 / yearYou are minimally qualified for the GL-07 Level starting base salary 48854 if you possess one of the following: A bachelors degree from an accredited college or university with Superior Academic Achievement (S.A.A.), which is based on: Class standing: Applicants must be in the upper third of the graduating class in the college, university, or major subdivision (such as the College of Liberal Arts or the School of Business Administration) based on completed courses. Grade-point average (G.P.A.): Applicants must have a grade-point average of 3.0 or higher out of a possible 4.0 (B or better) as recorded on their official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of the curriculum.