- CVS Health (Frankfort, KY)
- …affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator ( Pharmacy ) to join our Special Investigations Unit. In this ... and known acts of Healthcare fraud, waste and abuse ( FWA ). **Key Responsibilities** + Conducts high level, complex investigations...level, complex investigations of known or suspected acts of Pharmacy Fraud, Waste and Abuse. + Collaboration with … more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role for New...insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy , etc.) + Experience with UNET, Comet, Macess/CSP, or… more
- CVS Health (Tallahassee, FL)
- …affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In this ... into suspected and known acts of healthcare fraud, waste and abuse ( FWA ). **Key Responsibilities** + Conduct high level, complex investigations of known or… more