- Humana (Frankfort, KY)
- **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
- Molina Healthcare (Covington, KY)
- …and actions. + Works with leadership to maintain and revise policies and procedures, fraud , waste , and abuse plans, annual audit work plans, including department ... License, Certification, Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud Examiner (CFE)… more
- Elevance Health (Louisville, KY)
- …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:**...trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters… more