• Lead Investigator , Special…

    Molina Healthcare (Covington, KY)
    …responsible to lead a small team of investigators and provide oversight on daily investigative activities as a back-up to the SIU Manager. This position will be ... integrity programs. The position must have the ability to determine correct coding , documentation, potential fraud, abuse, and over utilization by providers and… more
    Molina Healthcare (11/21/25)
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  • Lead SIU Investigator

    Centene Corporation (Frankfort, KY)
    …compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity. Assists manager on monitoring ... while meeting all regulatory, CMS, and WellCare Corporate guidelines in which special care is required to protect and enhance WellCare's reputation. + Works… more
    Centene Corporation (12/10/25)
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