Manager, Fraud And Waste

HumanPanorama

Remote, US
Base: $78,400 - $107,800 py; bonus/equity: eligibl...
Hybrid
Investigate fraudulent practices
Healthcare services fraud
Conduct on-site audits
The Manager, Fraud and Waste leads investigations into suspected fraudulent or abusive practices involving healthcare services and related health plan activities

Job Summary

  • The Manager, Fraud and Waste leads investigations into suspected fraudulent or abusive practices involving healthcare services and related health plan activities.
  • This role operates within established guidelines and procedures, leveraging advanced technical expertise to resolve moderately complex issues.
  • Humana offers competitive benefits that support whole-person well-being, including medical, dental, vision, 401(k), and various time off options.

Matching Summary

The Manager, Fraud and Waste leads investigations into suspected fraudulent or abusive practices involving healthcare services and related health plan activities.

Salary

Base: $78,400 - $107,800 per year; Bonus/Equity: eligible for a bonus incentive plan; Benefits: medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • Investigate fraudulent practices
  • Healthcare services fraud
  • Conduct on-site audits
  • Collaborate with law enforcement
  • Prepare investigative reports
  • Cross-departmental collaboration

Nice-to-have

  • Passionate about consumer experiences
  • Continuous improvement focus

Key Requirements

  • Bachelor's Degree
  • Previous operational leadership experience
  • Prior healthcare fraud investigative experience
  • Excellent PC skills (MS, Excel, Access)
  • Excellent communication skills
  • Strong organizational and project management skills

Work Rights

Not specified

Tailored Resume

Cover Letter