• Manager, Fraud & Waste Investigation…

    Humana (Richmond, VA)
    …part of our caring community and help us put health first** The Manager, Fraud and Waste Investigator : Nurse Audit/Review performs clinical audit/validation ... and determines approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator : Nurse Audit/Review validates and interprets medical… more
    Humana (11/04/25)
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  • Senior Investigator (Aetna SIU)

    CVS Health (Richmond, VA)
    …+ Bachelor's degree or equivalent experience (3-5 years of working health care fraud , waste and abuse investigations). **Anticipated Weekly Hours** 40 **Time ... every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or… more
    CVS Health (11/14/25)
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