FRAUD INVESTIGATOR

Fraud Investigator

Delmarva Foundation is looking for a Fraud Investigator. Working in our Easton Office this position will perform in-depth evaluation of potential Medicare Prescription Drug fraud cases and develops complex cases that involve high dollar amounts, sensitive issues, or that otherwise meet criteria for referral to OIG and prepares these cases for referral to OIG. Utilizing leads provided by the team and referrals from government and private agencies works with the team to prioritize complaints for investigation and then investigates, conducts interviews and reviews information to make potential fraud determinations. Investigations utilize a variety of sources including internal guidelines, Medicare provider manuals, Medicare regulations, and the Social Security Act. Position requires:

5 years of experience in fraud investigation/detection or a related field that demonstrates expertise in reviewing, analyzing, and developing information and making appropriate decisions.
Prior successful experience with OIB/FBI or similar agencies preferred.

The Delmarva Foundation is a highly successful and rapidly growing not-for-profit company with a passion for excellence and over 25 years of experience in health care. For more information, visit us at www.dfmc.org.

For immediate consideration, please submit resume and salary requirements to:

Attn: MEDIC Positions
Delmarva Foundation for Medical Care
9240 Centreville Road
Easton, Maryland 21601
Fax: (410) 822-5032
E-mail: [Click here for email]

Affirming equal opportunity in principle and practice, Delmarva is an equal opportunity employer, committed to developing a diverse workforce.
WEB ID BA200973


Source - Baltimore Sun
REQUIREMENTS
Please refer to the Job Description to view the requirements for this job