Top 38 Criminal justice Jobs in Lansing Mi

Supervisor, Focused Review
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 5 years
- Word processing
- Research
- Dental insurance
- Opportunities for advancement
State Police Motor Carrier Officer
Michigan State Police (MSP) —Michigan
- $55,000 - $83,000 a year
- Full-time
- Background check
- Military
- High school diploma or GED
- Health savings account
- Paid holidays
Quick Apply
Compliance Officer - Family Division - Part-Time
Ingham County —Lansing, MI
- $22.92 an hour
- Part-time
- Office
- Ability to climb stairs
- High school diploma or GED
Card Fraud Manager
MSU Federal Credit Union —East Lansing, MI
- From $90,000 a year
- Monday to Friday
- Hybrid work
- Computer literacy
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Quick Apply
Surveillance Investigator I - Entry Level
Command Investigations, LLC —Lansing, MI
- $20 - $25 an hour
- 8 hour shift
- Microsoft Word
- Clean driving record
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Forensic Scientist 12 / SSB / FSD / DNA IT / Research and Validation Unit
State of Michigan —Lansing, MI
- $32.06 - $46.80 an hour
- Full-time
- Pass drug screening
- 3 years
- Bachelor's degree
- Paid parental leave
- Health savings account
6d
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Lansing, MI
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
12d
Surveillance Investigator
Allied Universal® Compliance and Investigations —Lansing, MI
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
SIU Claims Investigator
Lemieux & Associates LLC —Lansing, MI
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
Specialty Banking Risk & Compliance Analyst I
Dart Bank —Mason, MI
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
3d
Surveillance Investigator II
Command Investigations, LLC —Lansing, MI
- $25 - $30 an hour
- 8 hour shift
- Microsoft Word
- Clean driving record
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Private Investigator - Retired/Former Law Enforcement
Lemieux & Associates LLC —Lansing, MI
- $25 - $30 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Mileage reimbursement
Quick Apply
UMH Sparrow Lansing - Security Officer 1
University of Michigan Health Sparrow —Lansing, MI
- Full-time
- Clean driving record
- Caregiving
- HIPAA
Ast Inst/Inst- Fixed Term
Michigan State University —East Lansing, MI
- Part-time
- Remote
- Mid-level
- Bachelor's degree
Public Safety Attendant - Temporary - Potter Park Zoo
Ingham County —Lansing, MI
- $18.75 an hour
- Temporary
- Background check
- CPR Certification
- Computer literacy
Corrections Deputy
Ingham County —Mason, MI
- $57,057.97 - $72,675.66 a year
- 12 hour shift
- 18 years or older
- Military
- Writing skills
- Paid holidays
As Needed Field Investigator- Lansing, MI
J T Becker & Co Inc —Lansing, MI
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
Ast Inst/Inst/Ast Professor Fixed Term
Michigan State University —East Lansing, MI
- Part-time
- Master's degree
- Bachelor's degree
- Doctor of Philosophy
Court Attorney Series, 5624
NYS Unified Court System —Onondaga, MI
- $84,659 - $123,228 a year
- Email
- Management
- Travel
- 1 year
14d
Police Cadet
Meridian Township —Meridian, MI
- From $16 an hour
- Part-time
- Office
- Driver's License
- Entry level
Quick Apply

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Supervisor, Focused Review

Delta Dental of Michigan -
Okemos, MI

Apply Now

Job Details

Full-time

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Contract documentation review
Healthcare financial misconduct investigations
Contract review
Word processing
Spreadsheets
Contract interpretation
Research
Internal investigations
Health insurance knowledge
Healthcare billing investigations
Insurance investigations
Presentation preparation
Productivity software
Insurance (Financial sectors)
Technical Proficiency
Data analysis software

Full Job Description

Job Title:

Supervisor, Focused Review

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

Plans, organizes, and supervises the Provider Auditor Focused Review Special Investigation Unit (SIU) , including oversight of data research and review, and audit and investigation activities. E nsures all team operations align with corporate and departmental goals and objectives, maintains compliance with applicable standards and policies, and supports continuous improvement in Focused Review processes.

Primary Job Responsibilities:

Supervises and monitors the daily administrative and technical functions of the Focused Review SIU teams, data research and review, and audit and investigation activities to ensure efficient, compliant operations that support departmental and corporate goals and objectives.
Supports staff recruitment, onboarding, and development by assisting with interviewing, training, mentoring, and evaluating team members to promote accountability and achievement of individual and team objectives.
Oversees staff engaged in data research, report development, and analytics, serving as a resource for audit and research questions and providing guidance to internal and external stakeholders on reporting issues, provider agreements, processing policies, client contracts, and regulatory compliance for both commercial and government programs.
Implements and enforces policies, procedures, and standards for audits and investigations, and assists in preparing departmental reports and analyzing business processes to ensure compliance with regulatory requirements for both commercial and government programs.
Facilitates communication with law enforcement and legal representatives by supporting the preparation of documentation and responses to subpoenas, and assisting with administrative or judicial proceedings related to fraud, waste, and abuse.
Builds and maintains collaborative relationships with business partners to provide operational support, clarify requirements, and promote effective use of SIU services and solutions.
Acts as a liaison for staff and internal departments, providing expertise and interpretation of dental policies, procedure codes, and processing guidelines related to claims adjudication, fraud, waste, and abuse activities.
Assists in developing and implementing departmental strategies, goals, and objectives to support continuous improvement and operational excellence.
Supports budget monitoring and resource allocation for the Focused Review SIU teams as directed by management.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in business administration , criminal justice, or related field a nd five years of experience conducting investigations, audit s, or complex data analy sis within the insurance industry. Previous leadership experience is preferred , as well as experience reviewing claims activity, provider behavior, or group contract compliance. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of the insurance industry operations; strong investigative skills related to fraud, waste, and abuse; proficiency with analytic al tools, word processing, spreadsheet, and presentation software skills; strong verbal and written communication skills, strong organizational and analytical skills; the ability to lead investigative teams ; the ability to interpret contract language and identify indicators of fraudulent activity ; the ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment. Professional certifications such as CFE, CIA, AHFI are preferred .

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Apply Now

Refine Your Search

criminal justice jobs in lansing mi

Supervisor, Focused Review

State Police Motor Carrier Officer

Compliance Officer - Family Division - Part-Time

Card Fraud Manager

Surveillance Investigator I - Entry Level

Forensic Scientist 12 / SSB / FSD / DNA IT / Research and Validation Unit

Investigator, Special Investigations Unit (Aetna SIU)

Surveillance Investigator

SIU Claims Investigator

Specialty Banking Risk & Compliance Analyst I

Surveillance Investigator II

Private Investigator - Retired/Former Law Enforcement

UMH Sparrow Lansing - Security Officer 1

Ast Inst/Inst- Fixed Term

Public Safety Attendant - Temporary - Potter Park Zoo

Corrections Deputy

As Needed Field Investigator- Lansing, MI

Ast Inst/Inst/Ast Professor Fixed Term

Court Attorney Series, 5624

Police Cadet

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