- Humana (Dayton, OH)
- …a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... oversee the monitoring and enforcement of the fraud , waste, and abuse (FWA) compliance program to prevent...to ensure best outcomes; work closely with internal and external auditors, financial investigators, and claims processing areas +… more
- Prime Therapeutics (Columbus, OH)
- …+ Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) + National Pharmacy Technician Certification through PTCB ... of pharmacy with us. **Job Posting Title** Special Investigations Unit (SIU) Investigator - Remote **Job Description** The Special Investigations Unit (SIU) … more
- AmeriHealth Caritas (Columbus, OH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... alleged or suspected fraud involving the full range of products at the...lieu of formal educational requirements for the Lead SIU Investigator position may be considered.; + Valid driver's license… more
- CVS Health (Columbus, OH)
- …during civil and criminal proceedings + Gives presentations to internal and external customers regarding healthcare fraud matters and Aetna's approach to ... each and every day. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of...complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive… more
- CVS Health (Columbus, OH)
- …investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state ... regulations mandating fraud plans and practices. - Conducts investigations of known...company - Maintains open communication with constituents within and external to the company. - Uses available resources and… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …scientific alignment, operational excellence and consistency in Otsuka's external scientific exchange. **Job Description** **Key Responsibilities Include:** ... regional congresses, scientific communication objectives, symposia, booth presence, and internal/ external engagement activities + Collaborate with Medical Strategy, Medical… more