- Humana (Augusta, ME)
- …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… more
- Northern Light Health (Brewer, ME)
- Northern Light Health Department: Compliance Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40.00 Work Schedule: 7:00 AM to ... one or more Member Organizations (MOs). This highly independent, high-visibility professional operates with minimal supervision and provides routine reports and… more
- Martin's Point Health Care (Portland, ME)
- …from Medicaid, CMS, and CCI Edits + Understanding of or experience with fraud , waste , and abuse investigatory techniques and strategies + Solid understanding ... (internal and external) outcomes, savings, and performance metrics to senior leadership. + Establishes, monitors, and continuously improves processes and… more
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