- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and ... abusive practices. The Manager , Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately… more
- Elevance Health (Mason, OH)
- …preferred. + Marketing experience preferred. + Medicare Part D experience preferred. + Fraud waste and abuse experience preferred. For candidates working in ... **Title** : Program Manager **Location/** **Hybrid 1:** This role requires associates...onboard new client on January 1st, 2026. The **Program Manager ** is responsible for the development and ongoing management… more
- Molina Healthcare (Columbus, OH)
- …day-to-day operations of the Compliance Program, Compliance Plan, Code of Conduct, and Fraud , Waste and Abuse Plan across the enterprise while ensuring ... experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …development of compliance internal monitors and audit protocols and the prevention of fraud , waste and abuse. + Develops compliance monitors and audit protocols ... discovered as a result of claims audit or investigation. + Maintains awareness of fraud , waste and abuse laws and regulations and current industry changes that… more
- Elevance Health (Mason, OH)
- …of 3 years medical coding/auditing experience, including minimum of 1 year in fraud , waste abuse experience; or any combination of education and experience, ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an Impact:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Columbus, OH)
- …of 4 years medical coding/auditing experience, including minimum of 1 year in fraud , waste abuse experience; or any combination of education and experience, ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more