• Investigator, Special Investigative Unit - FLORIDA

    Molina Healthcare (Syracuse, NY)
    …checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and ... fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. +...claim billing codes, medical terminology, anatomy, and health care delivery systems. + Understanding of datamining and use of… more
    Molina Healthcare (09/22/25)
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