- Dignity Health (Phoenix, AZ)
- …and protection against retaliation. + Respond promptly to reports of potential Medicare fraud , waste, or abuse, (FWA) including coordinating internal ... **Job Summary and Responsibilities** **Job Summary:** The Medicare Compliance Officer (MCO) is responsible for developing, implementing, and overseeing the… 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 (Santa Fe, NM)
- …of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The ... Manager, Fraud and Waste works within specific guidelines and procedures;...+ Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with… more
- CACI International (VA)
- Fraud Analyst Job Category: Finance and Accounting Time Type: Part time Minimum Clearance Required to Start: DOJ MBI Employee Type: Regular Percentage of Travel ... of Travel: Local * * * **The Opportunity:** The Fraud Analyst position is a great opportunity for analysts.... + Formulate data runs or inquiries from large Medicare and Medicaid databases to elicit particular billing patterns… more
- LA Care Health Plan (Los Angeles, CA)
- …or Related Field Experience Required: At least 7 years of experience in healthcare compliance, fraud investigations, law enforcement, or related field. At least ... Preferred And/Or any of the following Licenses/ Certifications: Certified Fraud Examiner (CFE) Certified HealthCare Compliance (CHC) Certified… more
- Executive Office for US Attorneys and the Office of the US… (Denver, CO)
- …and analytical work to support the criminal litigation needs of Health Care Fraud (HCF) investigations and trials for the United States Attorney's Office. Typical ... work assignments will include: Providing technical litigation support to Health Care Fraud (HCF) criminal trial teams in order to facilitate litigation decisions,… more
- Humana (Little Rock, AR)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive ... practices. The Fraud and Waste Professional 2 work assignments are varied...years of investigative and/or claims experience + Knowledge of healthcare payment methodologies + Strong organizational, interpersonal, and communication… more
- Molina Healthcare (KY)
- …insurance company + Minimum of three (3) years' experience working on healthcare fraud related investigations/reviews + Proven investigatory skill; ability to ... data, medical records, and billing data from all types of healthcare providers that bill Medicaid/ Medicare /Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure… more
- Community Hospital Corporation (Greenville, TX)
- Hunt Regional Healthcare , a leading independent Hospital District anchored by a 187-bed medical center in Greenville, Texas, is seeking an experienced and strategic ... healthcare executive to assume the role of Chief Financial...performance of managed care contracts. + Administration of all Medicare & Medicaid Reimbursement issues, including the completion and… more
- GE HealthCare (Chicago, IL)
- …provides legal leadership and strategic legal advice related to GE HealthCare research, product development and collaboration activities. Acting as a strategic ... segment and technology teams on legal issues related to GE HealthCare sponsored and investigator-initiated research and collaboration proposals and engagements.… more