• Fraud and Waste Investigator

    Humana (Frankfort, KY)
    …analysis of situations or data requires an in-depth evaluation of variable factors. The Fraud and Waste Investigator collaborates in investigations with law ... health first** Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit....of all do you have a passion for combating Fraud , Waste , and Abuse in the Health… more
    Humana (12/24/25)
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  • Lead Investigator , Special Investigative…

    Molina Healthcare (Covington, KY)
    …delivery systems + Understanding of datamining and use of data analytics to detect fraud , waste , and abuse + Proven ability to research and interpret regulatory ... position must have the ability to determine correct coding, documentation, potential fraud , abuse, and over utilization by providers and recipients. The position… more
    Molina Healthcare (11/21/25)
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  • Manager, Special Investigative Unit-(Kentucky)

    Molina Healthcare (Louisville, KY)
    …Required License, Certification, Association + Active and unrestricted Accredited Health Care Fraud Investigator (AHFI) designation or Certified Fraud ... + Works with leadership to maintain and revise policies and procedures, fraud , waste , and abuse plans, annual audit work plans, including department guidance… more
    Molina Healthcare (10/16/25)
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