Government Careers

  • Medicaid Fraud & Waste Investigator (Remote)

  • Humana
  • Cheyenne, Wyoming 82007 United States View Map

Summary

Humana Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported or suspected fraud in the Medicaid program. The role involves on-site audits, evidence collection, and reporting to leadership, with occasional travel to Humana offices.You will coordinate with law enforcement and regulatory bodies, apply clinical knowledge to assess medical necessity, and help strengthen program integrity while ensuring a positive consumer experience.#J-18808-Ljbffr

Job Description

Humana Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported or suspected fraud in the Medicaid program. The role involves on-site audits, evidence collection, and reporting to leadership, with occasional travel to Humana offices.You will coordinate with law enforcement and regulatory bodies, apply clinical knowledge to assess medical necessity, and help strengthen program integrity while ensuring a positive consumer experience.#J-18808-Ljbffr

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