Talent.com
Florida Licensed SIU Director
Florida Licensed SIU DirectorVirtualVocations • Guaynabo, Puerto Rico, United States
Florida Licensed SIU Director

Florida Licensed SIU Director

VirtualVocations • Guaynabo, Puerto Rico, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

A company is looking for a Director of Special Investigative Unit (SIU).

Key Responsibilities

Oversee the activities of the SIU for accurate and timely operational reviews and final reviews

Interpret audit results and assist health plan executives in developing action plans to address identified risks

Ensure compliance with all state and federal regulations for fraud and abuse

Required Qualifications

Bachelor's degree in Accounting, Criminal Justice, Finance, Medical Professional, Economics, Operations Management or related field or equivalent

7+ years of related compliance and / or special investigation experience in managed care or CMS

[job_alerts.create_a_job]

Director • Guaynabo, Puerto Rico, United States

[internal_linking.similar_jobs]
Nursing Director - Med-Surg

Nursing Director - Med-Surg

St. Mary's Medical Center • US
[job_card.full_time]
Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At St.Mary's Medical Center hospital, were seeking an innovative and experienced healt...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Clinical Director

Clinical Director

Optum • US
[job_card.full_time]
LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide.As members of the Optum family of businesses, we are dedicated to helping people feel their best, incl...[show_more]
[last_updated.last_updated_less] • [promoted] • [new]
Director, General Lines (Commercial Insurance Sales) (COLORADO SPRINGS)

Director, General Lines (Commercial Insurance Sales) (COLORADO SPRINGS)

Usaa • US
[job_card.full_time]
Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.At USAA, our mission is to empower our members to achieve financial security through highly competiti...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Physician / Administration / Puerto Rico / Permanent / Medical Director (NV)

Physician / Administration / Puerto Rico / Permanent / Medical Director (NV)

Molina Healthcare • Florida, PR, US
[job_card.full_time]
JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction ...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Managing Director - Southeast

Managing Director - Southeast

Simeio • US
[job_card.full_time]
[filters_job_card.quick_apply]
A Managing Director (MD) at Simeio is a senior leadership role responsible for the strategy, operations, and growth of a regional set of large strategic accounts in the Southeast of the United Stat...[show_more]
[last_updated.last_updated_30]
Sales Director, North America

Sales Director, North America

Rodan Energy Solutions Inc. • (Multiple States), US
[job_card.full_time]
[filters_job_card.quick_apply]
At Rodan Energy, our mission is Making Sustainable, Attainable.As a leading North American energy services company, we provide innovative energy solutions that help clients reduce energy costs...[show_more]
[last_updated.last_updated_variable_days]
Sales Director - North Carolina, Florida, Georgia or New York

Sales Director - North Carolina, Florida, Georgia or New York

Indigo Slate • (Multiple States), US
[job_card.full_time]
[filters_job_card.quick_apply]
Are you an independent, self-assured, and diplomatically charming individual?.Can you drive client relationships with charismatic empathy and a near-absurd level of adaptability?.Do you have a set ...[show_more]
[last_updated.last_updated_30]
Sales Director - Retail Tech - North America

Sales Director - Retail Tech - North America

Remote People • USA
[job_card.full_time]
[filters_job_card.quick_apply]
We specialize in connecting forward-thinking companies with outstanding global talent.Whether you’re looking to fill a critical role or expand into new markets without local offices, we’re here to ...[show_more]
[last_updated.last_updated_30]
Director Revenue Operations - Remote (USA)

Director Revenue Operations - Remote (USA)

Hyperscayle • USA
[filters.remote]
[job_card.full_time]
[filters_job_card.quick_apply]
Hyperscayle is a revenue operations advisory and implementation firm.We help companies grow and scale by streamlining how marketing and sales work together across the lead-to-cash lifecycle.We impl...[show_more]
[last_updated.last_updated_30]
Safety & Sustainability Director, Autoliv Americas

Safety & Sustainability Director, Autoliv Americas

Autoliv United States • Ogden, US
[job_card.full_time]
[filters_job_card.quick_apply]
Autoliv is the worldwide leader in automotive safety systems.Through our group companies, we develop, manufacture and market protective systems, such as airbags, seatbelts, and steering wheels for ...[show_more]
[last_updated.last_updated_30]
Army Community Engagement Director (COLORADO SPRINGS)

Army Community Engagement Director (COLORADO SPRINGS)

Usaa • US
[job_card.full_time]
The full job description covers all associated skills, previous experience, and any qualifications that applicants are expected to have. At USAA, our mission is to empower our members to achieve fin...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Regional Director of Operations- South Florida

Regional Director of Operations- South Florida

Thrive Pet Healthcare • Remote, US
[filters.remote]
[job_card.full_time]
Thrive Pet Healthcare is hiring a Regional Director of Operations to help support our South Florida Market!.Ideal candidate will live in or be willing to relocate to Palm Beach or Miami, FL • •.The D...[show_more]
[last_updated.last_updated_variable_days]
Account Director - North America

Account Director - North America

Thrive • United States
[job_card.full_time]
[filters_job_card.quick_apply]
Our products and services are used by some of the most recognisable brands, including Volvo, Vodafone, Krispy Kreme, Sky and many more. We're Thrive Learning, and we’re changing the way people learn...[show_more]
[last_updated.last_updated_variable_days]
Technology Risk Oversight Director (CHARLOTTE)

Technology Risk Oversight Director (CHARLOTTE)

Usaa • US
[job_card.full_time]
Scroll down for a complete overview of what this job will require Are you the right candidate for this opportunity.At USAA, our mission is to empower our members to achieve financial security throu...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Technology Risk and Governance Director (CHARLOTTE)

Technology Risk and Governance Director (CHARLOTTE)

Usaa • US
[job_card.full_time]
Read on to fully understand what this job requires in terms of skills and experience If you are a good match, make an application. At USAA, our mission is to empower our members to achieve financial...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Director, General Lines (Commercial Insurance Sales) - Empowering Military Community Through Service (SAN ANTONIO)

Director, General Lines (Commercial Insurance Sales) - Empowering Military Community Through Service (SAN ANTONIO)

Usaa • US
[job_card.full_time]
Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.At USAA, our mission is to empower our members to achieve financial security through highly competiti...[show_more]
[last_updated.last_updated_variable_days] • [promoted]
Director of Strategic Accounts - US Eastern Region

Director of Strategic Accounts - US Eastern Region

DataVisor • US
[filters.remote]
[job_card.full_time]
[filters_job_card.quick_apply]
DataVisor is the world’s leading AI-powered Fraud and Risk Platform that delivers the best overall detection coverage in the industry. With an open SaaS platform that supports easy consolidation and...[show_more]
[last_updated.last_updated_30]
Physician / Administration / Puerto Rico / Permanent / Site Medical Director

Physician / Administration / Puerto Rico / Permanent / Site Medical Director

Centurion Health • Florida, PR, US
[job_card.full_time]
Family Practice-Without OB opening in , Florida.This and other physician jobs brought to you by DocCafe.Centurion is proud to be the provider of comprehensive healthcare services to the Florida Dep...[show_more]
[last_updated.last_updated_variable_days] • [promoted]