- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator , you...outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time… more
- Humana (Concord, NH)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement… more
- UPMC (Pittsburgh, PA)
- …the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned dental fraud , waste and abuse (FWA) cases, as well as ... and analyzing claims data in order to identify potential dental FWA. The SIU Investigator is also...data analysis to identify, evaluate and measure potential healthcare fraud , waste and abuse to determine valid… more
- Point32Health (Canton, MA)
- …prevent future loss. This role will be responsible for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the ... Investigation Unit ("SIU") responsible for leading complex provider investigations related to fraud , waste , and abuse, and developing action plans to address… more
- Parsons Corporation (Springfield, VA)
- …**Responsibilities include, but are not limited to** **:** + Investigate complaints of fraud , waste and abuse, data spills, and network penetrations. + Respond ... is why we offer best-in-class benefits such as medical, dental , vision, paid time off, 401(k), life insurance, flexible...of fraudulent recruitment practices. To learn more about recruitment fraud and how to report it, please refer to… more
- Elevance Health (Costa Mesa, CA)
- …evaluate and recommend focused investigative activities involving market trends indicating Fraud , Waste and Abuse within the healthcare industry. **How ... bonus programs (unless covered by a collective bargaining agreement), medical, dental , vision, short and long term disability benefits, 401(k) +match, stock… more
- BlueCross BlueShield of North Carolina (NC)
- …+ Relevant certifications (eg, Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) **What You'll Get** : + The opportunity to ... Investigations Unit (SIU) is responsible for overseeing and managing fraud , waste , and abuse (FWA) detection, investigation,...and the autonomy to do great work + Medical, dental , and vision coverage along with numerous health and… more