- Humana (St. Paul, MN)
- …of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and ... abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of situations… more
- State of Minnesota (St. Paul, MN)
- …predict program integrity and/or compliance; + Experience analyzing medical claims data for fraud , waste and abuse; + Network Analysis to identify relationships ... + **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **FLSA Status** : Exempt - ...are meaningful to the requester; + Experience working with senior leaders. **A Bachelor's Degree in Computer Science, Applied… more
- St Croix Hospice (Mendota Heights, MN)
- …methodologies, internal controls and risk assessments. + Strong understanding of healthcare fraud , waste , and abuse prevention, coding compliance, and billing ... the ability to clearly communicate complex compliance issues to senior executives and staff members at all levels. +...+ Certified Billing and Coding Specialist (CBCS) + Certified Professional Coder (CPC) + Certified Professional Medical… more