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... review claims analysis for potential FWA, accuracy, contract interpretation, and compliance ... Specialty, etc.) Strong understanding of pharmacy/healthcare claims, & knowledge of healthcare payment methodologies At least 2 .....
... Humana Senior Fraud and Waste Investigator - Lab Team-Remote in US ... The Senior Fraud and Waste Investigator conducts investigations of allegations of ... the Senior Fraud and Waste..
... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, ... systems used to complete a..