- Humana (Richmond, VA)
- …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
- CVS Health (Richmond, VA)
- …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
- Walmart (Prince George, VA)
- **Position Summary ** Join Sam's Club Asset Protection team in Supply Chain as Manager 1, Asset Protection. In this role, you will leverage your expertise to ... savings. + Operate and maintain tools for evaluating air, water, and waste pollution, and ensure compliance with environmental legislation. + Recognize and… more
- Elevance Health (Richmond, VA)
- …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
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …and detain individuals suspected of shoplifting. Investigates other suspected incidents of fraud waste and abuse as directed. Prepares case reports, ... NEXCOM LPS standards. Conducts audits as directed by the Loss Prevention Safety Manager or Supervisor of cash registers, cash offices, retail inventory, controls and… more
- Navy Exchange Services (NEX) (Norfolk, VA)
- …and detain individuals suspected of shoplifting. Investigates other suspected incidents of fraud , waste and abuse, as directed. Prepares case reports, ... NEXCOM LPS standards. Conducts audits, as directed by the Loss Prevention/Safety Manager or Supervisor, of cash registers, cash offices, retail inventory controls,… more