• Manager , Fraud & Waste…

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical ... of objectives and determines approach, resources, schedules and goals. The Manager , Fraud and Waste Investigator: Nurse Audit/Review validates and interprets… more
    Humana (11/04/25)
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  • Manager , Special Investigation

    CVS Health (Columbus, OH)
    …in federal and state audits. **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud ...Leads a team in the planning and execution of investigations of acts of healthcare fraud and… more
    CVS Health (10/19/25)
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  • Healthcare Compliance Auditor - Enterprise Risk

    Bon Secours Mercy Health (Cincinnati, OH)
    …as a result of claims audit or investigation . + Maintains awareness of fraud , waste and abuse laws and regulations and current industry changes that may ... development of compliance internal monitors and audit protocols and the prevention of fraud , waste and abuse. + Develops compliance monitors and audit protocols… more
    Bon Secours Mercy Health (10/13/25)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, OH)
    …of 4 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:**...new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and… more
    Elevance Health (11/01/25)
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