Humana

Fraud and Waste Investigator

Humana(1 month ago)

RemoteFull TimeMedior$65,000 - $88,600Healthcare
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About this role

The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of fraud involving Florida's Medicaid Program. The role involves coordinating with law enforcement, assembling evidence, conducting audits of provider records, and preparing investigative and audit reports, while following established guidelines and procedures.

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Required Skills

  • Fraud Investigation
  • Healthcare Fraud
  • Auditing
  • Data Analysis
  • Communication

Qualifications

  • Bachelor's degree
  • Clinical Experience
  • 2 Years Healthcare Fraud Experience
Humana

About Humana

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