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Elevance Health

Seven Fields, Pennsylvania

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Manager of Anti-Fraud Initiatives - Remote Eligible
General Summary Assist the Director of Anti-Fraud Initiatives with the day-to–day management of, and on-going enhancement to, NHCAA’s activities relating to the sharing of information in support of Member Organizations and Government Liaisons (members) detection, investigation and prosecution of health care fraud; act as the primary contact for NHCAA’s SIRIS database; and prepare reports for the membership based upon the review of appropriate information and data regarding health care fraud emerging schemes and trends. Major Duties and Responsibilities Major duties and responsibilities include the following: Under the direction of the Director of Anti-Fraud Initiatives, manages the SIRIS database, including data-mining for the purposes of preparing


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