- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... enter cases accurately in Fraud , Waste and Abuse case management system. Monitor and notify SIU...Action Plan status. + Pursues low complexity and routine investigations of fraud and/or abuse … more
- Prime Therapeutics (Columbus, OH)
- …conclusions and recommendations. MISCELLANEOUS DUTIES: + Provide backup support to team members ( SIU Coordinator and Senior SIU Specialist) in the ... for the intake and initial handling of allegations of fraud , waste or abuse . Conducts preliminary investigation...in behavioral health, radiology or pharmacy. + 3+ years' fraud investigations /claims experience. + Ability to manage… more