- CVS Health (Hartford, CT)
- …Health Care Anti-Fraud Association (AHFI) * Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit * Experience with Interpreting ... Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by...years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance… more
- State of Connecticut, Department of Administrative Services (Meriden, CT)
- Forensic Biology and DNA Quality Assurance Manager Division of Scientific Services Recruitment # 251211-6401MP-001 Location Meriden, CT Date Opened 12/15/2025 ... recruiting for a Forensic Biology and DNA Quality Assurance Manager (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=6401MP&LinkSpec=RecruitNum2&R1=&R3=) to join our team at the Division… more
- Robert Half Finance & Accounting (New Haven, CT)
- …and maintain strong relationships with internal stakeholders, external auditors, and business unit leaders. + Support special projects such as accounting ... advisory, operational audits, investigations , acquisition integration, and process-improvement initiatives (approx. 15-20%). Requirements + 6-12+ years of experience in public accounting or a mix of public accounting and industry (manufacturing exposure… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …+ May review medical records of various health care eligibility, resource unit referral and/or compliance with federal funding provisions; + Coordinate workflow and ... with Disabilities Act (ADA), please contact Edward Magnano, EEO Manager at (860) 418 - 6148 or ###@ct.gov PURPOSE...of Developmental Services this class is accountable for performing investigations of abuse, neglect and death in individuals with… more
- Elevance Health (Wallingford, CT)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- CVS Health (Hartford, CT)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more