• Special Investigation Unit

    CVS Health (Dover, DE)
    …deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of ... Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention… more
    CVS Health (12/25/24)
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  • Manager , Fraud and Waste * Special

    Humana (Dover, DE)
    …enforcement authorities to coordinate investigations and supervises the activities of the Special Investigations Unit (SIU) to ensure accurate and timely ... caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or… more
    Humana (12/19/24)
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  • Conference, Graduate, and Specialty Housing…

    University of Delaware (Newark, DE)
    Conference, Graduate, and Specialty Housing Systems Manager Job no: 501559 College / VP Area:Vice President for Student Life Work type: Staff Location: Newark ... and Data Management, the Conference, Graduate, and Specialty Housing Systems Manager ( Manager ) provides coordination for major administrative operations… more
    University of Delaware (12/21/24)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Wilmington, DE)
    …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
    Elevance Health (10/01/24)
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  • Electrical Engineer 5(Medium Voltage)

    CDM Smith (Middletown, DE)
    **37154BR** **Requisition ID:** 37154BR **Business Unit :** TSU **Job Description:** **This position will be based out of our closest CDM Smith office in the ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
    CDM Smith (11/25/24)
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