- CenterWell (Dover, DE)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged, or suspected fraud , waste , or abuse. This role involves varied work assignments that often require interpretation and independent judgement to… more
- Intermountain Health (Dover, DE)
- …the Special Investigations Unit at Select Health receives and investigates allegations of Fraud Waste and Abuse (FWA) by gathering evidence through data ... **Essential Functions** + Receives referrals through various sources and investigates potential Fraud Waste and Abuse allegations, seeking evidence by means of… more
- Highmark Health (Dover, DE)
- …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... for conducting investigations of organizational or functional activities related to alleged fraud , waste and abuse perpetrated by providers, members, facilities,… more