• Manager , Fraud and Waste

    Humana (Madison, WI)
    … 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)
    - Related Jobs
  • Production Manager

    Winland Foods (Kenosha, WI)
    The Production manager provides overall leadership for manufacturing departments in the areas of safety, productivity, quality, cost, equipment, and engagement. ... to optimize product yields, equipment operation and process control while reducing waste . Engages all employees in continuous improvement and fosters a positive work… more
    Winland Foods (09/09/25)
    - Related Jobs
  • Clinical Provider Auditor II

    Elevance Health (Waukesha, WI)
    …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)
    - Related Jobs
  • Pharmacist Clinical, Community (H)

    SSM Health (Fond Du Lac, WI)
    …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 (08/30/25)
    - Related Jobs
  • Customer Service Representative - Hybrid

    Rising Medical Solutions (Milwaukee, WI)
    …relating to medical bill review. Basically, we are helping to cut excess costs, fraud , and waste while making healthcare more affordable for the patients that ... most. Oh, and you get the benefit of working in a small, close-knit team with a manager who truly wants to see you to succeed! This is a great opportunity for those… more
    Rising Medical Solutions (10/04/25)
    - Related Jobs
  • Mgr-Corporate Responsibility

    SSM Health (Madison, WI)
    …establishing methods to improve regulatory and legal compliance and reduce vulnerability to fraud , abuse, and waste . + Collaborates to periodically revise the ... Type:** Regular **Job Highlights:** This is a full time salaried Corporate Responsibility Manager role that supports their assigned region. This position is a Hybrid… more
    SSM Health (10/02/25)
    - Related Jobs