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Prepares written communications to the auditee and mid to senior level management, including ... Remote Minimum Requirements: Position requires a bachelor's degree in accounting, business ...
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Remote Mid Level information
What does a remote mid level professional do?
What are some common challenges faced by remote mid level professionals, and how can they be overcome?
What are the key skills and qualifications needed to thrive as a remote mid level professional, and why are they important?
What is the difference between Remote Mid Level vs Remote Software Developer?
| Aspect | Remote Mid Level | Remote Software Developer |
|---|---|---|
| Required Credentials | Typically 2-4 years experience, relevant certifications | Usually similar, often with coding bootcamps or degrees |
| Work Environment | Remote, collaborative teams, project-based | Remote, focused on coding and development tasks |
| Employer & Industry Usage | Used across various industries like tech, finance, marketing | Primarily in tech, software, IT sectors |
| Search & Comparison Intent | People compare roles for career growth or job fit | People compare roles for technical skills and responsibilities |
Remote Mid Level and Remote Software Developer roles often overlap in skills and work environment, but the term 'Remote Software Developer' is more specific to coding and software creation. Both roles are common in tech industries and require similar experience levels, making them frequently compared by job seekers aiming to understand their career options or job requirements.
What are the most commonly searched types of Remote jobs in Michigan?
The most popular types of Remote jobs in Michigan are:
What are popular job titles related to Remote Mid Level jobs in Michigan?
For Remote Mid Level jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Mid Level jobs in Michigan look for?
The top searched job categories for Remote Mid Level jobs in Michigan are:
What cities in Michigan are hiring for Remote Mid Level jobs?
Cities in Michigan with the most Remote Mid Level job openings:

Full-time
Medical, Dental
Posted 16 days ago
Job description
Special Investigations Unit Investigator
Number of Positions:
3
Location:
Okemos, MI
Location Specifics:
Fully Remote
Job Summary:
Candidates must reside in Michigan within a reasonable commuting distance of our Okemos, MI office for team meetings, collaborative sessions, and training.
At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.
Position Description:
Responsible for the research and reporting of internal and external activities of providers and members involved in questionable conduct as it pertains to treatment patterns, claim submissions, contract agreements, and state licensing requirements.
Primary Job Responsibilities:
- Plans, coordinates, prepares, and performs in-depth provider and member audits, and researches questionable conduct using data extraction and analysis tools and techniques.
- Conducts interviews, requests and preserves evidence, reviews auditee's treatment and financial records, controls, and other pertinent records.
- Prepares written communications to the auditee and mid to senior level management, including requests, audit reports and general correspondence to ensure compliance with contracts or state licenses.
- Educates providers and members regarding contractual requirements in order to gain or maintain compliance with participating agreements, client contracts, and applicable laws and regulations.
- Provides assistance to law enforcement agencies or attorneys in the detection, defense, and prosecution of fraud, to include responding to subpoenas, preparing documentation, and testifying in administrative or judicial proceedings regarding violations of contracts.
- Makes recommendations to enhance system controls and contract agreements in order assist in preventing aberrant behavior.
- Develops training programs and educates corporate staff in Anti-Fraud activities.
- Assists in implementing, supporting, developing and maintaining relationships with Delta Dental affiliates.
Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
#LI-Remote
Minimum Requirements:
Position requires a bachelor's degree in accounting, business administration, finance, healthcare administration, information technology, or a related field and three years of experience auditing, utilizing analytical tools and software, dental claims billing or review, or as a dental hygienist. Will accept any suitable combination of education, training, or experience.
Position requires advanced knowledge of dental terminology and dental procedure codes; knowledge of common data mining tools, such as Audit Command Language (ACL), SQL Developer and IBM's Fraud and Abuse Management System (FAMS); strong verbal and written communication skills; strong organizational and analytical skills; ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment.
An Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), or Certified Internal Auditor (CIA) designation is preferred.
The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.
About Delta Dental of Michigan
Sourced by ZipRecruiter
Industry
Insurance services
Company size
501 - 1,000 Employees
Headquarters location
Okemos, MI, US
Year founded
1957