- Humana (Boston, MA)
- **Become a 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...PREFERRED:** Prior Law enforcement experience at a detective or investigator level. + **STRONGLY PREFERRED:** Experience with internal/employee investigations.… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for ... in Virgina to enhance the program's transparency and accountability. The Senior Fraud and Waste Professional also conducts investigations into allegations… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …related field) preferred. + Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder (CPC), or similar ... methods of data analytics and healthcare informatics to discover Fraud , Waste and Abuse activities as well...activities as well as provide program-wide trend analysis. The Senior Data Analyst will use advanced analytics, predictive modeling,… more