• Senior Fraud and Waste…

    Humana (Des Moines, IA)
    …part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and ... abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where the analysis of situations or data… more
    Humana (11/04/25)
    - Related Jobs

  • Senior Fraud and Waste…

    Humana (Des Moines, IA)
    …a part of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing the ... monitoring and enforcement of the Fraud , Waste , and Abuse (FWA) program. This role aims to prevent and detect potential FWA activities in accordance with state… more
    Humana (11/01/25)
    - Related Jobs

  • Fraud and Waste Investigator

    Humana (Des Moines, IA)
    …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 and frequently require interpretation and independent determination of the… more
    Humana (11/04/25)
    - Related Jobs

  • Manager, Fraud & Waste Investigation…

    Humana (Des Moines, IA)
    …part of our caring community and help us put health first** The Manager, Fraud and Waste Investigator : Nurse Audit/Review performs clinical audit/validation ... and determines approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator : Nurse Audit/Review validates and interprets medical… more
    Humana (11/04/25)
    - Related Jobs

  • Investigator , Special Investigative Unit…

    Molina Healthcare (Des Moines, IA)
    …ASSOCIATION** : + Health Care Anti- Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all ... investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste , and abuse. Duties include performing accurate and reliable… more
    Molina Healthcare (09/22/25)
    - Related Jobs

  • Investigator

    Highmark Health (Des Moines, IA)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... for conducting investigations of organizational or functional activities related to alleged fraud , waste and abuse perpetrated by providers, members, facilities,… more
    Highmark Health (10/24/25)
    - Related Jobs