- Humana (Denver, CO)
- …to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing ... investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced… more
- State of Colorado (Denver, CO)
- …Department Department of Health Care Policy and Financing Division Medicaid Operations Office Opening Date 08/05/2025 Closing Date 8/13/2025 11:59 PM Mountain ... for a Program Integrity Review Specialist to join our Program Integrity, Personnel & Operations Section team! As part of the State of Colorado, HCPF offers a… more
- State of Colorado (Denver, CO)
- …looking for a Medical Coding and Fiscal System Administrator to join our Clinical Operations Division team! As part of the State of Colorado, HCPF offers a ... coding edits in the fiscal system on a monthly basis to decrease Medicaid fraud and abuse due to inappropriate billing practices. + Analyzes complex data and report… more
- State of Colorado (Denver, CO)
- …cause ineligible individuals to appear eligible, resulting in inappropriate payment of claims . This position participates in all relevant meetings that pertain to ... the ongoing operations of Public Assistance Program Training procedures and policies....+ CBI name check, ICON Colorado court database, Medicare fraud database, Reference checks, Professional License verification (licensure requirements),… more