- 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 (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
- 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