- Humana (Hartford, CT)
- …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 (Hartford, CT)
- …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
- CVS Health (Hartford, CT)
- …within the Special Investigations Unit (SIU) plays a key role in supporting fraud , waste , and abuse investigations by managing and responding to Requests ... - Experience working with Medicaid and Medicare programs - Familiarity with state-specific fraud investigation protocols (eg, Texas OIG, Florida AHCA) - Prior… more