- Humana (Columbus, OH)
- … leads and monitors investigations of allegations of fraudulent and abusive practices. The Manager , Fraud and Waste works within specific guidelines and ... goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement authorities. Leads...Medicare experience + Minimum 3 years of experience with Fraud , Waste , and Abuse in either a… more
- ICF (Columbus, OH)
- …of healthcare data systems, Medicare and Medicaid claims, and the government's healthcare fraud , waste , and abuse workflow. Job Location- Primarily remote within ... of the award. ICF is currently seeking a Data Manager to lead and oversee program integrity data analysis...Conduct analysis of health care claims data to detect fraud , waste , and abuse, and in support… more
- CVS Health (OH)
- …Python who can transform complex healthcare data into actionable insights to support fraud , waste , and abuse (FWA) detection and Medicaid regulatory & compliance ... + Design, develop, and maintain complex data analyses to support investigations of potential fraud , waste , and abuse in Medicaid claims and provider activity. +… more
- Elevance Health (Mason, OH)
- …of 3 years medical coding/auditing experience, including minimum of 1 year in fraud , waste abuse experience; or any combination of education and experience, ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an Impact:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Air National Guard Units (Springfield, OH)
- …to the customer. Manages and executes internal control procedures to protect against fraud , waste , and abuse. Performs other duties as assigned. *The above ... comply with applicable laws, and that funds are safeguarded against waste , loss, and misappropriation. Reviews accounting and pay documents, travel vouchers,… more