organizational and prioritization skills with multi-tasking ability. Preferred certifications: Accredited Healthcare Fraud... Investigator (AHFI), Certified Fraud Specialist (CFS), Certified Fraud Examiner (CFE), Certified Forensic Interviewer (CFI...
Fraud Investigator II serves a crucial role in combating fraud, waste and abuse (“FWA”) within the Medicaid program... to multiple provider types and serves as a senior investigator in the Unit., The Investigator II will coach other investigators...
and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines... Caring. Connecting. Growing together. The Senior Investigator is responsible for identification, investigation...
Become a part of our caring community and help us put health first This Senior Fraud and Waste Investigator will serve... as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA...
Become a part of our caring community and help us put health first This Senior Fraud and Waste Investigator will serve... processing areas Adequately staff and manage the program integrity investigator(s) responsible for all FWA detection programs...
compliance with regulatory, accreditation and contract standards. The Senior FWA Specialist will manage day-to-day anti-fraud...) -PREFERRED Other Qualification Requirements Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI...
in a dynamic managed care environment Federal and State laws related to healthcare FWA. This includes a solid... of FWA programs Proactively identify areas of risk to the organization related to FWA Accredited Healthcare Fraud...