- Molina Healthcare (Waukesha, WI)
- …* Assists IRIS consultants with difficult situations and messaging, (ie fraud and conflict of interest), and maintains strictest confidentiality regarding all ... for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Midland States Bank (Greenville, IL)
- …long-term incentives (ie stock awards). Benefits for this role include comprehensive healthcare , well-being benefits, paid family leave as well as generous paid time ... long-term incentives (ie stock awards). Benefits for this role include comprehensive healthcare , well-being benefits, paid family leave as well as generous paid time… more
- University Health (San Antonio, TX)
- …identifies compliance risks, internal control deficiencies, and potential areas of fraud , waste, or abuse, offering recommendations for corrective action and process ... improvement. In this role, the auditor serves as a subject matter expert in healthcare coding standards such as CPT, ICD-10-CM, and HCPCS, as well as CMS and OIG… more
- Sanford Health (Fargo, ND)
- …insurance investigation/audit. - Master's Degree preferred - Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) ... package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies. Respond to subpoenas and requests for… more
- Zelis (Boston, MA)
- … Fraud in prevention, detection, reporting, and monetary recovery related to financial fraud and healthcare fraud , waste, and abuse. What You'll Do ... it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare...interests that shape who you are. Position Overview The Fraud Investigation Analyst, Enterprise Fraud , will contribute… more
- Humana (Oklahoma City, OK)
- …**Required Qualifications** + **Must be an Oklahoma resident** + 2+ years of healthcare fraud investigations and auditing experience + Knowledge of healthcare ... help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of… more
- Humana (Dayton, OH)
- …**Required Qualifications** + Must reside in Ohio + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare ... 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, who will… more
- New York State Civil Service (New York, NY)
- …data analysts, nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to ... General, Office of the Title Forensic Auditor: Investigate Complex Medicaid Fraud (6414) Occupational Category Financial, Accounting, Auditing Salary Grade NS… more
- New York State Civil Service (New York, NY)
- …detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. The Medicaid ... Agency Attorney General, Office of the Title Medical Analyst: Legal Nurse, Fraud /Patient Abuse (6413) Occupational Category Legal Salary Grade NS Bargaining Unit M/C… more
- State of Georgia (Fulton County, GA)
- …or more items below: + Attorneys with civil litigation experience, with an emphasis on healthcare or fraud matters. + Demonstrated ability to work in a team is ... Assistant Attorney General 1 - Medicaid Fraud -Civil Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/72524/other-jobs-matching/location-only)… more
