• Manager , Special…

    Molina Healthcare (Covington, KY)
    …the audit process and provide recommendations for system enhancement to augment investigative outcomes and performance. + Accurately tracks, reports, and follows up ... on overpayments and recoveries + Leads business requirement process and reporting to ensure proper and timely notification of case activity to the appropriate regulatory and/or law enforcement agency. **JOB QUALIFICATIONS** **Required Education** Bachelor's… more
    Molina Healthcare (07/18/25)
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  • Manager , Fraud and Waste * Special…

    Humana (Frankfort, KY)
    …part 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...provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Decisions are typically related to… more
    Humana (09/05/25)
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