• Manager , Fraud and Waste

    Humana (Jefferson City, MO)
    … leads and monitors investigations of allegations of fraudulent and abusive practices. The Manager , Fraud and Waste works within specific guidelines and ... goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement authorities. Leads...Medicare experience + Minimum 3 years of experience with Fraud , Waste , and Abuse in either a… more
    Humana (09/24/25)
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  • Clinical Provider Auditor II

    Elevance Health (St. Louis, MO)
    …of 3 years medical coding/auditing experience, including minimum of 1 year in fraud , waste abuse experience; or any combination of education and experience, ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an Impact:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/26/25)
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  • Pharmacist - PRN

    SSM Health (Jefferson City, MO)
    …quantity, MME, source and DAW to avoid audit charge backs and ensure compliance with Fraud Waste and Abuse (FWA) Laws. + Contributes to zero medication errors ... in Charge (PIC) in the absence of the Pharmacy Supervisor/ Manager . **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Verifies prescription… more
    SSM Health (08/09/25)
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