- Humana (Annapolis, MD)
- … leads and monitors investigations of allegations of fraudulent and abusive practices. The Manager , Fraud and Waste works within specific guidelines and ... resources, schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation...Medicare experience + Minimum 3 years of experience with Fraud , Waste , and Abuse in a Managed… more
- CVS Health (Annapolis, MD)
- …federal and state audits. **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 years of ... activities related to the prevention, investigation, and prosecution of health care fraud to recover lost funds. Responsible for compliance with state and federal… more
- Elevance Health (Hanover, MD)
- …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:**...trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters… more