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... 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..
... 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 .....
... 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..