- Humana (Oklahoma City, OK)
- …our caring community and 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 Investigators conducts investigations into allegations of fraud , waste...program transparency and accountability. You will report to the SIU Director and work closely with Humana's… more
- AmeriHealth Caritas (Newtown Square, PA)
- …direct supervision of the Director , SIU the Pharmacy Manager in the Special Investigations Unit ( SIU ) will lead efforts to detect, investigate ... patters or anomalies in pharmacy claims and operations indicative of fraud , waste and abuse.; + Lead and manage investigations into suspected fraudulent… more
- CVS Health (Charleston, WV)
- …in federal and state audits. **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 ... Leads a team in the planning and execution of investigations of acts of healthcare fraud and...and development needs. Assesses training needs and works with SIU Director on development plans for team… more