• Senior Fraud & Waste Investigator

    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
    Humana (08/08/25)
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  • Manager Special Investigations

    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
    AmeriHealth Caritas (08/02/25)
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  • Manager, Special Investigation

    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
    CVS Health (08/01/25)
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