Fraud and Waste Manager

Company: VirtualVocations
Location: Racine
Posted on: November 19, 2024

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, DeKalb , Fraud and Waste Manager, Executive , Racine, Illinois

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