Fraud And Waste Investigator

HumanPanorama

Louisiana, US
Base: $65,000 - $88,600 py; bonus: eligible for in...
Hybrid
2+ years fraud investigation experience
Knowledge of healthcare payment methodologies
Must reside in louisiana state
This role involves conducting thorough investigations into allegations of fraud, waste, and abuse involving providers submitting claims to Humana's Louisiana Medicaid line of business

Job Summary

  • This role involves conducting thorough investigations into allegations of fraud, waste, and abuse involving providers submitting claims to Humana's Louisiana Medicaid line of business.
  • The position offers a remote work environment with minimal travel requirements while ensuring compliance with governmental and internal standards.
  • Humana provides competitive benefits including medical, dental, vision, 401(k) retirement savings, and paid time off to support whole-person well-being.

Matching Summary

This role involves conducting thorough investigations into allegations of fraud, waste, and abuse involving providers submitting claims to Humana's Louisiana Medicaid line of business.

Salary

Base: $65,000 - $88,600 per year; Bonus: Eligible for incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), paid time off

Skills & Requirements

Must-have

  • 2+ years fraud investigation experience
  • Knowledge of healthcare payment methodologies
  • Must reside in Louisiana state
  • Proficient in Microsoft Office suite
  • Strong organizational and communication skills

Nice-to-have

  • Clinical experience across multiple practice areas
  • Self-starter with inquisitive nature
  • Ability to collaborate with law enforcement
  • Passion for improving consumer experiences
  • Experience in corporate business operations

Key Requirements

  • Reside in Louisiana
  • 2+ years fraud investigations or auditing experience
  • Knowledge of healthcare payment methodologies
  • Proficiency in Microsoft Office
  • Associate's degree or higher (Preferred)

Work Rights

Must reside in Louisiana

Tailored Resume

Cover Letter