- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. **Position Summary** We are seeking an experienced Healthcare Fraud Manager to lead and oversee a team of ... investigators in our efforts to identify, prevent, and mitigate healthcare fraud , waste and abuse. This role involves not only directing fraud detection and… more
- The Cigna Group (Bloomfield, CT)
- …claim coding, enrollment, coordination of benefits, overpayment identification, claims auditing, pharmacy , Fraud , Waste and Abuse, and third party liability ... The Claims Strategy and Payment Integrity Senior Manager will play an important role in our...programs, visit Life at Cigna Group . **About Cigna Healthcare ** Cigna Healthcare , a division of The… more
- Elevance Health (Wallingford, CT)
- …for the identification, investigation, and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... proprietary data and claims systems for review of facility, professional, and pharmacy claims. + Responsible for identifying and developing enterprise-wide specific … more