Fraud and Waste Manager
Company: VirtualVocations
Location: Racine
Posted on: November 19, 2024
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Job Description:
A company is looking for a Manager, Fraud and Waste Special
Investigations Unit - Medicaid.
Key Responsibilities
Conduct investigations of allegations related to fraud, waste, and
abuse in Medicaid
Ensure compliance with federal and state regulations and prepare
detailed investigative reports
Collaborate with law enforcement and supervise the activities of
the Special Investigations Unit
Required Qualifications
Bachelor's degree in Accounting, Criminal Justice, Finance, or
related field
7+ years of compliance and/or special investigation experience in
managed care or CMS
Prior health insurance claims experience
Demonstrated formal or informal people management experience
Proven FWA Managed Care (Medicaid) Investigative experience
Keywords: VirtualVocations, Hoffman Estates , Fraud and Waste Manager, Executive , Racine, Illinois
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