- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ... abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and independent determination of the… more
- Humana (Columbus, OH)
- …experience + CFE (Certified Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator ) **Additional Information** + Benefits starting day 1 of ... our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The… more
- Molina Healthcare (Columbus, OH)
- …investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste , and abuse. Duties include performing accurate and reliable ... may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to...and/or health plan members in order to determine whether fraud , waste , or abuse may have occurred.… more