Government Careers

  • Medicaid Fraud & Waste Investigator (Remote)

  • Humana
  • Lincoln, Nebraska 68516 United States View Map

Summary

Humana Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported, alleged, or suspected fraud affecting the Medicaid program. The role includes on-site audits, evidence preservation, and collaboration with law enforcement, within a fully remote U.S.setting. Responsibilities include reviewing provider billing, medical records and claims to identify fraud, waste or abuse, and preparing detailed investigative summaries for leadership and stakeholders.#J-18808-Ljbffr

Job Description

Humana Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported, alleged, or suspected fraud affecting the Medicaid program. The role includes on-site audits, evidence preservation, and collaboration with law enforcement, within a fully remote U.S.setting. Responsibilities include reviewing provider billing, medical records and claims to identify fraud, waste or abuse, and preparing detailed investigative summaries for leadership and stakeholders.#J-18808-Ljbffr

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