- Humana (Frankfort, KY)
- …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...resources, schedules and goals. **Where You Come In** The Manager , Fraud and Waste coordinates investigation with law enforcement… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on.... This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- Thorntons LLC (Lexington, KY)
- The General Manager (GM) is responsible for managing all aspects of the business to ensure that Guests are delighted with a fast, friendly, fresh, clean, and ... is followed relating to safety, accidents, and incidents including reporting, investigations , and documentation *Create a place of welcoming and belonging for… more
- Centene Corporation (Frankfort, KY)
- …Position acts as a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud, Waste and Abuse of Medicaid services within Kentucky. Provides ... matters; while maintaining an investigative workload of moderate to high complexity. Assists manager on monitoring team caseload and report on metrics. + Serve as… more
- CVS Health (Frankfort, KY)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more