Insurance Investigator Jobs in Portland

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Portland Maine Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Portland Maine Description Humana is looking for an experienced Healthcare Investigator to join its industry ..

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..

Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..

Fraud and Waste Investigator Duties: The candidate collaborates in investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..

Job Information Humana Fraud and Waste Investigator-Remote in US in Portland Maine Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Job Information Humana Senior Cloud Engineer (Migration & Modernization) in Portland Maine Description In support of Humana's vision to create simple, personalized and reliable experience for our healthcare customers, we are ..

Job Information Humana Senior Incident Response Engineer (virtual home office remote eligible) in Portland Maine Description The Senior Incident Response Engineer will be part of a dynamic, growing team, hunting for ..

Description The Dental Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. The Dental Fraud and Waste Investigator work assignments are varied and frequently require interpretation and ..

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Description The Senior Security Professional protects the organization's employees, properties, and all items of value on premises from any preventable harm or danger. The Senior Security Professional work assignments involve moderately ..

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

Description The Senior Security Professional protects the organization's employees, properties, and all items of value on premises from any preventable harm or danger. The Senior Security Professional work assignments involve moderately ..

Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Portland Maine Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Description This is a fantastic opportunity to own and manage the frontline cyber operations for the 3rd largest health organization in the Nation. This candidate will have the ability to apply ..

Job Information Humana Senior Fraud and Waste Investigator - Lab Team-Remote in US in Portland Maine Description The Senior Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive ..

Senior Fraud and Waste Investigator Duties: The candidate coordinates investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..