- CVS Health (Columbus, OH)
- …**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to ... a specific self-funded plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts… more
- Humana (Dayton, OH)
- **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, ... and claims processing areas + Adequately staff and manage the program integrity investigator (s) responsible for all FWA detection programs and activities + Assist in… more