- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...independent determination of the appropriate courses of action. The Fraud and Waste Professional 2 coordinates investigation with law… more
- Highmark Health (Harrisburg, PA)
- …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
- AmeriHealth Caritas (Newtown Square, PA)
- …Ensures compliance with all requirements related to Special Investigation Units and fraud , waste and abuse investigations. + Conducts investigations of ... potential; fraud , waste and/or abuse with a focus on thoroughness and attention to detail, quality, timeliness and cost control. + Conducts comprehensive… more
- Meta (Harrisburg, PA)
- …bad actors from abusing the platform. You will investigate holistic networks of abuse to understand and deter adversaries, and then scale solutions that precisely ... to protect Meta users from harm. **Required Skills:** Technical Investigator , Integrity Operations Responsibilities: 1. Apply quantitative skills and incorporate… more