- Highmark Health (Frankfort, KY)
- …Contracting **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner ( CFE ) + Certified ... Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment… more
- Molina Healthcare (Lexington, KY)
- …Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner ( CFE ). To all current Molina employees: ... reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse. Duties include performing accurate and reliable medical review… more
- Prime Therapeutics (Frankfort, KY)
- …CPT/HCPS/Revenue codes, insurance terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred. + Bachelor's degree preferred. ... for the intake and initial handling of allegations of fraud , waste or abuse. Conducts preliminary investigation to assess...audit or investigation. Serves as a corporate resource on fraud , waste and abuse issues and maintains confidentiality and… more
- Ankura (KY)
- …professional education in both accounting (CPA strongly preferred), and fraud examination ( Certified Fraud Examiner , Certified in Financial Forensics ... Accounting team assists companies with addressing issues related to corruption, fraud , or accounting misstatements. We offer clarity and guide decision-making during… more
- Molina Healthcare (Covington, KY)
- …and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud Examiner ( CFE ) **Preferred Education** Master's ... + Works with leadership to maintain and revise policies and procedures, fraud , waste, and abuse plans, annual audit work plans, including department guidance… more
- CDM Smith (Bowling Green, KY)
- …required. **Preferred Qualifications:** * Certification such as CPA ( Certified Public Accountant), CFE ( Certified Fraud Examiner ), or CFF ( ... CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims. This role is critical in evaluating and analyzing financial data… more
- Highmark Health (Frankfort, KY)
- …+ Certified Public Accountant (CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner ( CFE ) + Certified in Healthcare ... Compliance (CHC) + Certified Compliance and Ethics Professional (CCEP) **SKILLS** + Broad-based business knowledge as well as in-depth knowledge of the insurance industry, strategic compliance planning, regulatory concerns, compliance requirements, and… more