SIU Investigator

Summary

Humana, Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported or suspected fraud impacting Medicaid programs. The role involves coordinating with law enforcement, preparing complex reports, and leveraging clinical knowledge to assess medical necessity and billing practices.The position is fully remote across the contiguous US with occasional travel to Humana offices for training or meetings. Competitive compensation and a bonus plan are included.#J-18808-Ljbffr

Job Description

Humana, Inc. is seeking a Fraud and Waste Professional to conduct comprehensive investigations of reported or suspected fraud impacting Medicaid programs. The role involves coordinating with law enforcement, preparing complex reports, and leveraging clinical knowledge to assess medical necessity and billing practices.The position is fully remote across the contiguous US with occasional travel to Humana offices for training or meetings. Competitive compensation and a bonus plan are included.#J-18808-Ljbffr