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Fraud and Waste Manager

VirtualVocations
West Covina, California, United States
Full-time

A company is looking for a Manager, Fraud and Waste Special Investigations Unit - Medicaid.Key ResponsibilitiesConduct investigations of allegations related to fraud, waste, and abuse in MedicaidEnsure compliance with federal and state regulations and prepare detailed investigative reportsCollaborate with law enforcement and supervise the activities of the Special Investigations UnitRequired QualificationsBachelor's degree in Accounting, Criminal Justice, Finance, or related field7+ years of compliance and / or special investigation experience in managed care or CMSPrior health insurance claims experienceDemonstrated formal or informal people management experienceProven FWA Managed Care (Medicaid) Investigative experience

13 hours ago
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