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> Medicare Fraud Investigator jobs in USA
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Meridian Health Plan - Detroit, MI
monitoring of member and/or provider Fraud, Waste and Abuse through random audits, ... policies to identify areas of risk for Fraud, Waste or Abuse* Prioritize leads from ... sources* Stay current on published fraud cases* Interview members and/or providers etc...
from beyond.com - 22 hours 53 min ago - email - more...
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AmeriHealth Caritas - Philadelphia, PA
Philadelphia, PAID**: ... including full-risk Medicaid and Medicare programs, management and administrative ... of reported, alleged or suspected fraud involving the full range of products etc...
from beyond.com - 23 hours 47 min ago - email - more...
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CAMBIA Health Solutions - Tacoma, WA
NUMBER: 805596 EXTERNAL AUDIT INVESTIGATOR II OR I DOETACOMA, WA BRING ... and/or refers cases to the Centers for Medicare & Medicaid (CMS), HHS-OIG or other ... detection and prevention of payment of fraudulent claims * Educate company employees, etc...
from americasjobexchange.com - 3 weeks 2 days ago - email - more...
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AmeriHealth Caritas - Philadelphia, PA
Philadelphia, PAID**: ... including full-risk Medicaid and Medicare programs, management and administrative ... of reported, alleged or suspected fraud involving the full range of products etc...
from beyond.com - 22 hours 28 min ago - email - more...
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AmeriHealth Caritas - Tampa, FL
Investigator, SIULocation: Tampa, FLID**: ... SIU Pharmacy Investigator is responsible for performing ... of allegations of pharmaceutical fraud, abuse and/or waste. Manages a large etc...
from beyond.com - 22 hours 30 min ago - email - more...
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Anthem - Metairie, LA
is focused on serving Medicaid, Medicare and uninsured individuals and families. ... billing data in order to detect fraudulent, abusive or wasteful activities/practices. ... system tools, analyzes data to detect fraudulent, abusive or wasteful payments etc...
from beyond.com - 23 hours 22 min ago - email - more...
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UnitedHealth Group - Hopkins (Eden Prairie), MN
life's best work.The Clinical Appeals Investigator will work with a team on researching ... Assets: Knowledge of Medicaid/Medicare Reimbursement methodologies Basic ... MS Access Anti-fraud principle knowledgePhysical Requirements etc...
from beyond.com - 23 hours 17 min ago - email - more...
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HMS Holdings - Omaha, NE
program integrity services to the Medicare and Medicaid programs. Services ... detecting, preventing, and deterring fraud, waste and abuse and refer instances ... potential fraud, waste and abuse to the appropriate etc...
from beyond.com - 22 hours 36 min ago - email - more...
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HMS Holdings - Omaha, NE
program integrity services to the Medicare and Medicaid programs. Services ... detecting, preventing, and deterring fraud,waste and abuse and refer instances ... potential fraud, waste and abuse to the appropriate etc...
from beyond.com - 23 hours 43 min ago - email - more...
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L.A. Care Health Plan - USA
1DescriptionDUTIESReporting to the Medicare Compliance Program Manager, the ... Internal Auditor/Investigator will have primary responsibility ... This position supports the Medicare Compliance internal audit/investigations etc...
from beyond.com - 22 hours 50 min ago - email - more...
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UnitedHealth Group - Hopkins (Eden Prairie), MN
Collaboration with Clinical Investigator, Legal and Compliance for case ... on various approaches to health care fraud preferred Medicare/Medicaid program etc...
from beyond.com - 22 hours 41 min ago - email - more...
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