[Remote] Manager, Fraud and Waste at Humana

Candidates must possess a Bachelor's degree and a minimum of 3 years of experience in health insurance claims or Medicare. A minimum of 3 years of experience with Fraud, Waste, and Abuse in either a Managed Care or government setting is required, along with at least 3 years of proven leadership skills and significant experience directly managing professionals. Proven knowledge in Medicare regulations, excellent PC skills (MS Excel, Access, and PowerPoint), strong communication, organizational, project management, and analytical skills are essential. Candidates must be able to analyze large amounts of data and align with Eastern Standard Time (EST) core business hours. Preferred qualifications include relevant certifications and experience in the healthcare industry, claims processing, internal investigative process development, and corporate environments.