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Carle Health

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Investigator II Fraud Waste and Abuse, Geisinger Health Plan (United States)
Job SummaryConducts investigations and research relating to preventing, detecting and correcting fraud, waste and abuse in all lines of business. Maintains a caseload and performs activities relating to intake, triage, planning, conducting, reporting and closing of complex investigations.Job DutiesMaintains an investigative caseload consisting of mid to high level complexity and performs a full range of investigative functions from case development to case closing.Ensures investigative and other activities—such as intake, planning, research, analysis, record reviews, interviews, coordination, reports, referrals and closing—are thorough and timely and performed in accordance with established procedures and practices.Performs data mining, anal


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