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Job Details

Fraud and Waste Investigator

Company name
Humana Inc.

Experience
2 yrs required

Location
Jacksonville, FL, United States

Employment Type
Full-Time

Industry
Legal

Posted on
Jan 13,2019

Valid Through
Apr 28,2019

Apply for this job






Profile

Fraud and Waste Investigator

The candidate assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Manage a large caseload of pharmacy fraud investigations while making decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Additional Information

Ref: R-210678

Company info

Humana Inc.
10690 Beach Blvd
Jacksonville
Florida
United States 32246
Website : http://www.humana.com

Company Profile
Humana's diverse lines of business work to serve all types of consumers. From families to seniors to military members to self-employed individuals, there is a plan to meet many unique needs. Find out how Humana's associates and corporate leaders are committed to customer service. Our team uses innovation to deliver results to our consumers.

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