Remote Medicaid Fraud & Waste Investigator

Summary

Humana Inc is seeking a Fraud and Waste Professional to conduct comprehensive investigations of suspected fraud in Medicaid programs. This remote role spans across the contiguous United States, collaborating with law enforcement and internal partners to gather evidence and drive adjudication.The position requires strong clinical expertise, healthcare pay­ment knowledge, and robust data analysis skills to detect irregularities, produce detailed reports, and support program integrity initiatives.

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Job Description

Humana Inc is seeking a Fraud and Waste Professional to conduct comprehensive investigations of suspected fraud in Medicaid programs. This remote role spans across the contiguous United States, collaborating with law enforcement and internal partners to gather evidence and drive adjudication.The position requires strong clinical expertise, healthcare pay­ment knowledge, and robust data analysis skills to detect irregularities, produce detailed reports, and support program integrity initiatives.

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