- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical ... of objectives and determines approach, resources, schedules and goals. The Manager , Fraud and Waste Investigator: Nurse Audit/Review validates and interprets… more
- CVS Health (St. Paul, MN)
- …in federal and state audits. **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud ...Leads a team in the planning and execution of investigations of acts of healthcare fraud and… more
- State of Minnesota (St. Paul, MN)
- …within Minnesota's Medicaid system. The incumbent manages anti- fraud , waste , and abuse efforts, including provider investigations , prevention, education, ... **Working Title: Medicaid Provider Audits and Investigations Manager ** **Job Class: Human Services...the following: + Knowledge of health care issues surrounding fraud and abuse by providers. + Develop compliance, investigative,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Have In this position, you will be responsible for the daily supervision of fraud investigation activities including ensuring that key steps are being documented ... concise and effective manner. Effectively identify, investigate, and evaluate complex potential fraud , waste , or abuse, including pre-pay and/or post-pay medical… more