- New York State Civil Service (New York, NY)
- …auditors, detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. ... No Agency Attorney General, Office of the Title Medical Analyst: Legal Nurse, Fraud /Patient Abuse (6413) Occupational Category Legal Salary Grade NS Bargaining… more
- Zelis (Boston, MA)
- …in prevention, detection, reporting, and monetary recovery related to financial fraud and healthcare fraud , waste, and abuse . What You'll Do + Perform ... it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare...to identify internal or external fraudulent activity, including potential Fraud , Waste, and Abuse (FWA), across all… more
- General Dynamics Information Technology (Fairfax, VA)
- …healthcare coding (eg, ICD-10, CPT, HCPCS) + Experience in program integrity and healthcare fraud , waste, and abuse activities, including edits, audits, ... a 50-person team supporting the TTP which was established in 2012 to reduce fraud , waste and abuse in healthcare data. We are GDIT. The people supporting and… more
- CVS Health (Morgantown, 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
- New York State Civil Service (Hauppauge, 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 (3836) Occupational Category Legal Salary Grade NS… more
- Molina Healthcare (Ann Arbor, MI)
- …The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position ... of experience working in a FWA / SIU or Fraud investigations + Thorough knowledge of PC based software...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- CVS Health (Columbus, OH)
- …communication skills + Advanced experience in Excel **Preferred Qualifications** + Experience in healthcare fraud , waste and abuse + Knowledge of Medicaid ... skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud , waste, and abuse (FWA) detection and Medicaid… more
- Centene Corporation (Columbus, OH)
- …state of Ohio are highly preferred.** **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, ... claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse . + Conduct investigations of potential waste,… more
- Idaho Division of Human Resources (Boise, ID)
- …or administrative hearings. + Knowledge of state and federal laws related to Medicaid, healthcare fraud , and abuse . + Candidates with certifications such as ... at least 5 years of investigative experience, preferably in law enforcement, healthcare fraud or financial crimes. Strong analytical; interviewing, and… more
- AmeriHealth Caritas (Columbus, OH)
- …+ An associate's degree, with a minimum of four years of experience working in healthcare fraud , waste, and abuse investigations and audits. + Experience and ... with all requirements related to Special Investigation Units and fraud , waste and abuse investigations. + Conducts...experience in the healthcare field working in fraud , waste, and abuse investigations and audits… more
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