Top 74 Investigations Jobs in Coon Rapids, Mn

Manager - Special Investigations (SIU)
Medica Services Company LLC —Minnetonka, MN
- $78,700 - $134,900 a year
- Management
- Research
- Mid-level
- Paid holidays
- Health insurance
2d
Special Investigator
Medica Services Company LLC —Minnetonka, MN
- $62,700 - $107,500 a year
- 5 years
- Research
- Office
- Paid holidays
- Health insurance
13d
Fraud and Abuse Investigator / CPC - Remote
Sentara Workforce Solutions, LLC —Osseo, MN
- $25.60 - $42.67 an hour
- Overtime
- Remote
- Mid-level
- Bachelor's degree
- 2 years
- 403(b) matching
- Paid parental leave
Quick Apply
3d
Field Investigator (FT & PT) – Minneapolis- St. Paul, MN
Origin Investigations Inc —Minneapolis, MN
- $25 - $35 an hour
- Part-time
- Background check
- Military
- Computer literacy
Quick Apply
SIU Investigator III
Medica Services Company LLC —Minnetonka, MN
- $62,700 - $107,500 a year
- 5 years
- Research
- Office
- Paid holidays
- Health insurance
2d
SIU Investigator IV
Medica Services Company LLC —Minnetonka, MN
- $70,200 - $120,400 a year
- Anatomy knowledge
- 7 years
- Microsoft Excel
- Paid holidays
- Health insurance
2d
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Saint Paul, MN
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
Investigative Research Specialist (Skip Tracing) - PART TIME
MESSERLI KRAMER P.A. —Plymouth, MN
- $17.50 - $19.75 an hour
- Part-time
- Pass drug screening
- Research
- Microsoft Office
- Free parking
- Paid holidays
Quick Apply
Compliance Data Analyst - Research Scientist 3
State of Minnesota - Children Youth & Families Dept —Saint Paul, MN
- $37.91 - $56.39 an hour
- Online Application
- Hybrid work
- Salesforce
- HIPAA
- Java
- Paid parental leave
- Paid holidays
6d
Senior Investigator - Human Services Program Representative 2
State of Minnesota - Human Services Dept —Saint Paul, MN
- $32.97 - $48.60 an hour
- Online Application
- Hybrid work
- Writing skills
- Adults
- HIPAA
- Paid parental leave
- Paid holidays
11d
Compliance Program Consultant, Mental Health Parity
Medica Services Company LLC —Minnetonka, MN
- $78,700 - $134,900 a year
- 5 years
- Clinic experience
- Research
- Paid holidays
- Health insurance
Vendor Oversight - Field Investigator / Management Analyst 2
State of Minnesota - Public Safety Dept —Saint Paul, MN
- $26.12 - $37.91 an hour
- Online Application
- Hybrid work
- Mid-level
- Office
- Travel
- Paid parental leave
- Paid holidays
4d
Investigative Research Specialist (Skip Tracing)
MESSERLI KRAMER P.A. —Plymouth, MN
- $17.50 - $19.75 an hour
- Full-time
- Pass drug screening
- Research
- Microsoft Office
- Free parking
- Health savings account
Quick Apply
Security Investigator
Pinkerton —Minneapolis, MN
- Full-time
- CPR Certification
- Computer literacy
- First Aid Certification
Private Investigator - Minneapolis, MN
Delta Group —Minneapolis, MN
- $20 - $30 an hour
- Per diem
- Background check
- 18 years or older
- Clean driving record
- Disability insurance
- Health insurance
Quick Apply
Lead Analyst, Digital Data Governance & Compliance (Minneapolis, Minnesota)
Benchmark Makers —Minneapolis, MN
- $90,000 - $110,000 a year
- Email
- 7 years
- Computer Science
- Office
Compliance Examiner
D.A. Davidson —Minneapolis, MN
- $54,486 - $80,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Surveillance Investigator
Allied Universal® Compliance and Investigations —Minneapolis, MN
- $25 - $30 an hour
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
2d
Loss Prevention Investigator
Fleet Farm —Blaine, MN
- Part-time
- High school diploma or GED
- Entry level
Quick Apply
13d
Surveillance Investigator
Frasco Inc —Minneapolis, MN
- $20 - $26 an hour
- Part-time
- Clean driving record
- Military
- Writing skills
- Paid training
- Mileage reimbursement

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Manager - Special Investigations (SIU)

Medica Services Company LLC -
Minnetonka, MN

Apply Now

Job Details

$78,700 - $134,900 a year
2 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Volunteer time off

Qualifications

Customer communication
Management
Team leadership
Supervising experience

Full Job Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

This position is responsible for supervising, training, and the overall performance of Medica’s Special Investigations Unit (SIU) investigative staff. Additionally, this position is responsible for the preparation of reports and statistical dashboard for all Special Investigation Unit (SIU) business functions. This 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.

The Manager - Special Investigations must be customer focused, able to multitask, retain a large amount of knowledge, have strong organizational skills and enjoy working in a team environment. This individual will respond to customers with a high level of accuracy and timely follow-up. In written responses, the Manager must work proactively with SIU staff and business segment leadership to anticipate emerging patterns of fraud and abuse and collaborate to develop strategies to reduce any business impact to Medica. Manager - Special Investigations will utilize online tools and resources to efficiently and effectively identify potential fraud or abuse in claims data. This position requires sensitivity and understanding plus the knowledge and resources to quickly resolve problems.

This position is responsible for building solid relationships with leaders in other departments (Compliance, Government Programs, Individual and Family Business, and Operations). Excellent verbal and written communication and interpersonal skills are required to effectively collaborate with other internal Medica departments as well as external parties. Performs other duties as assigned.

Key Accountabilities

Manage performance and hold staff accountable for meeting department standards for quality, turnaround time, and attendance. Formulate action plans for substandard performance
Conduct regular one on ones with team members
Establish annual goals and objectives for the team, ensures quarterly check-in’s are completed, prepare and present Performance Reviews
Clearly communicates team and individual expectations
Ensure all team members have the training and tools they need to perform the job successfully
Collaborate with leaders and others as appropriate within the organization to ensure consistent, effective and timely communication and problem resolution
Coach, encourage and facilitate individual growth and development through specific, timely, and consistent feedback. Promote a coaching culture
Backup and support SIU Director, as needed, in various meetings, projects and work groups
Provide technical support to staff by researching and responding to their questions. Provide insight and offer suggestions/solutions to team issues
Review incoming referrals and as appropriate assign for investigation and follow-up
Review investigations closed by investigative staff to ensure that the investigation was thorough and investigative outcome is appropriate
Produce a monthly statistical dashboard of investigative activity for distribution to segment leaders
Prepare monthly, quarterly and annual SIU investigation summary reports for various internal Medica compliance committee meetings, Medica’s Board of Directors and Medica leadership

Required Qualifications

Bachelor's degree or equivalent
5 years of healthcare, insurance or law enforcement investigative experience
2 years of leadership experience

Preferred Qualifications

Excellent verbal and written communication skills
Have excellent interpersonal skills and the ability to handle ambiguity
Analytical/Problem Solving and presentation skills
Organized/Able to Multi-Task
Highly Motivated/Self-Starter
Customer Focused
Working knowledge of regulatory enforcement environment
Ability to identify, trend and analyze data for communication and process improvements
Proficient with Microsoft Office Suite

This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.

The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. 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 position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

investigations jobs in coon rapids, mn

Manager - Special Investigations (SIU)

Special Investigator

Fraud and Abuse Investigator / CPC - Remote

Field Investigator (FT & PT) – Minneapolis- St. Paul, MN

SIU Investigator III

SIU Investigator IV

Investigator, Special Investigations Unit (Meritain Health)

Investigative Research Specialist (Skip Tracing) - PART TIME

Compliance Data Analyst - Research Scientist 3

Senior Investigator - Human Services Program Representative 2

Compliance Program Consultant, Mental Health Parity

Vendor Oversight - Field Investigator / Management Analyst 2

Investigative Research Specialist (Skip Tracing)

Security Investigator

Private Investigator - Minneapolis, MN

Lead Analyst, Digital Data Governance & Compliance (Minneapolis, Minnesota)

Compliance Examiner

Surveillance Investigator

Loss Prevention Investigator

Surveillance Investigator

I want to receive the latest job alert for investigations in coon rapids, mn

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