• Clinical Fraud Investigator II - Registered…

    Elevance Health (West Des Moines, IA)
    …responsible for identifying issues and/or entities that may pose potential risks associated with fraud and abuse . **How you will make an impact:** + Performs ... billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control. +...claims and medical records prior to payment. Researches new healthcare -related questions as necessary to aid in investigations. +… more
    Elevance Health (10/03/25)
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  • Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (Des Moines, IA)
    …investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and abuse . Duties include performing accurate and reliable ... for developing leads presented to the SIU to assess and determine whether potential fraud , waste, or abuse is corroborated by evidence. + Conducts both… more
    Molina Healthcare (09/22/25)
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  • Investigator

    Highmark Health (Des Moines, IA)
    …3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis ... + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of… more
    Highmark Health (09/10/25)
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  • Director, Compliance (Must reside…

    Molina Healthcare (Des Moines, IA)
    …SIU an active relationship with third parties who have specific experience in conducting fraud and abuse investigations. * Prepares written reports to inform the ... Enforces, as a representative of management, the Compliance Plan, Code of Conduct and Anti- Fraud Plan. * Establishes, at the direction of the AVP of Compliance or… more
    Molina Healthcare (09/10/25)
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  • Senior Specialist, Delegation Oversight (Remote)

    Molina Healthcare (Sioux City, IA)
    …standards and requirements contained in the Molina Medical Compliance and Fraud , Waste and Abuse Program. **KNOWLEDGE/SKILLS/ABILITIES** + Coordinates, conducts, ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
    Molina Healthcare (08/21/25)
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  • Chem Depend Counselor

    UnityPoint Health (Des Moines, IA)
    …for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance ... 173136 Overview This position is responsible for providing substance abuse evaluations, individual counseling, and group facilitation services to...recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in… more
    UnityPoint Health (10/13/25)
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  • Mental Health Associate

    UnityPoint Health (Cedar Rapids, IA)
    …for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance ... for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance… more
    UnityPoint Health (10/07/25)
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  • Certified Medical Assistant

    UnityPoint Health (Anamosa, IA)
    …for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance ... recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in...+ Is aware of hospital and department compliance regarding fraud , waste and abuse . Brings any questions… more
    UnityPoint Health (08/23/25)
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  • RN

    UnityPoint Health (Anamosa, IA)
    …for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse . Brings any questions or concerns regarding compliance ... recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in.... Is aware of hospital and department compliance regarding fraud , waste and abuse . Brings any questions… more
    UnityPoint Health (08/23/25)
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  • Assistant General Counsel - Specialty…

    Cardinal Health (Des Moines, IA)
    …firm or in-house healthcare experience preferred, including commercial transactions and fraud and abuse compliance expertise + Experience working with Group ... to pharmaceutical distribution and services and group purchasing organizations, specifically AKS/ Fraud & Abuse + Identify opportunities for process improvements… more
    Cardinal Health (08/02/25)
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