Humana

Fraud and Waste Investigator

Humana
550 W Adams St, Chicago, IL 60661, USA
Full-TimeDepends on ExperienceSenior LevelBachelors
Job Description

The Senior Fraud and Waste Professional coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Prepares complex investigative and audit reports. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Where is this job?
This job is located at 550 W Adams St, Chicago, IL 60661, USA
Job Qualifications

  • 2+ years recent experience as a CPC (Certified Professional Coder)

  • Active Registered Nurse (RN) license

  • Solid understanding of healthcare payment methodologies

  • Minimum of 1 year of healthcare fraud investigations or auditing experience

  • Experience in a corporate environment and understanding of business operations

Required Skills

  • MS Word

  • MS PowerPoint

  • MS Access

  • Writing Skills

  • Time Management Skills

  • Data Analysis and Presentation

  • Healthcare payment methodologies

Soft Skills

  • Self-Motivated

  • Communication Skills

  • Problem Solving Skills

  • Flexibility/Adaptability

  • Detail Oriented and Organized

  • Multi tasker

Compensation

According to JobzMall, the average salary range for a Fraud and Waste Investigator in 550 W Adams St, Chicago, IL 60661, USA is between $43,000 and $69,000. The salary range varies depending on a number of factors such as experience, education, certifications, and market demand.

Additional Information
Humana is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 10th, 2021
Apply BeforeMay 22nd, 2025
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About Humana

Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.

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