- Humana (St. Paul, MN)
- …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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …use of Microsoft Word, Excel, PowerPoint and Visio. * Accredited Health Insurance Fraud Investigator (AHFI) in good standing through the National Health Care ... prospective and retrospective investigations of suspected claims and the development of fraud , waste , abuse and over-payment recovery cases. This includes… more
- CVS Health (St. Paul, MN)
- …the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …feedback and encourage growth and development of staff. * Accredited Healthcare Fraud Investigator (AHFI) in good standing through the National Health ... concise and effective manner. Effectively identify, investigate, and evaluate complex potential fraud , waste , or abuse, including pre-pay and/or post-pay medical… more