- New York State Civil Service (Albany, NY)
- …auditors, detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. ... Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud /Patient Abuse (6399) Occupational Category Legal Salary Grade NS Bargaining… more
- CVS Health (WV)
- …you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse . Routinely handles cases that are sensitive ... state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. + Demonstrates high level of knowledge… more
- CVS Health (OK)
- …- Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse , to recover lost funds, and ... plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse . - Communicates with federal, state, and local law… more
- New York State Civil Service (Mineola, NY)
- …detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare ... HELP No Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud /Nursing Home Abuse (3818) Occupational Category Legal Salary Grade NS… more
- New York State Civil Service (New York, NY)
- …detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare ... HELP No Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud /Nursing Home Abuse (3819) Occupational Category Legal Salary Grade NS… more
- Centene Corporation (Sacramento, CA)
- …fresh perspective on workplace flexibility. **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in ... claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse . + Conduct investigations of potential waste,… more
- Centene Corporation (Frankfort, KY)
- …must reside within the state of Kentucky. **Position Purpose:** Investigate allegations of healthcare fraud and abuse activity. Assist in planning, ... investigations or audits that identify, evaluate and measure potential healthcare fraud . + Assist in monitoring business...billing and claims payment + Investigate possible waste , abuse and fraud leads and document activity… more
- CVS Health (Workman, MN)
- …investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste, and abuse . Also reports suspected ... **Fundamental Components:** - Conducts investigations of known or suspected acts of healthcare fraud , waste, and abuse - Communicates with federal, state,… more
- Highmark Health (Pittsburgh, PA)
- …create reports, graphs, and charts to timely identify trends and patterns of potential healthcare fraud , waste and abuse . Communicate findings to company ... provider relations, reimbursement etc. + Calculate overpayments in established fraud , waste or abuse cases. Identify all...7 years of in the Health Insurance industry and/or Healthcare Fraud investigations + 3 years in… more
- CVS Health (MI)
- …+ Provides Coordinators the training and support and reviewing claims for potential acts of healthcare fraud and abuse by both members and providers. + ... sense of urgency and sensibility to the situation . + Experience with healthcare fraud , waste and abuse . + Demonstrated ability to handle multiple… more
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