- Humana (Dayton, OH)
- …the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to state and ... us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who...and Responsibilities_ + Carry out the provisions of the compliance plan, including FWA policies and procedures + Investigate… more
- Molina Healthcare (Cincinnati, OH)
- …coverage audit policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must have the ability to determine ... Health Information Management, Health Care Administration, Finance, Criminal Justice, Law Enforcement , or related field (applicable FWA experience would be accepted… more
- Humana (Columbus, OH)
- …fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement authorities. Assembles evidence ... us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of reported,...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more