- 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
- Elevance Health (Columbus, OH)
- …of 4 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
- Elevance Health (Columbus, OH)
- …coding audits, and participates in developing an investigation team that focuses on potential fraud , waste and abuse in the provider population. **How will you ... medical record documentation to determine if there is potential fraud , waste , or abuse that warrants further...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more