• Fraud and Waste Investigator

    Humana (Columbus, OH)
    …analysis of situations or data requires an in-depth evaluation of variable factors. The Fraud and Waste Investigator collaborates in investigations with law ... health first** Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit....of all do you have a passion for combating Fraud , Waste , and Abuse in the Health… more
    Humana (12/24/25)
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  • Fraud and Waste Investigator

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement… more
    Humana (12/23/25)
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  • Special Investigator

    AmeriHealth Caritas (Columbus, OH)
    …Ensures compliance with all requirements related to Special Investigation Units and fraud , waste and abuse investigations. + Conducts investigations of ... administrative services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported,...potential; fraud , waste and/or abuse with a focus… more
    AmeriHealth Caritas (10/22/25)
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  • Senior Investigator , Aetna SIU (Must…

    CVS Health (Columbus, OH)
    …the state of Ohio + 4+ years investigative experience in the area of healthcare fraud , waste and abuse matters. + Working knowledge of medical coding; CPT, ... each and every day. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of...with an additional four+ years working on health care fraud , waste , and abuse investigations and audits;… more
    CVS Health (12/20/25)
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  • Special Investigation Unit Investigator

    Centene Corporation (Columbus, OH)
    …and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste , abuse, and fraud + Document activity on each case and refer ... in claims + Develop new queries and reports to detect potential waste , abuse, and fraud + Provide case updates on progress of investigations and coordinate with… more
    Centene Corporation (12/11/25)
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