[Remote] Senior Fraud & Waste Investigator at Humana

Yes, this is a remote work-at-home position, though occasional travel to Humana's offices for training or meetings may be required.

Required qualifications include being an Oklahoma resident, 2+ years of healthcare fraud investigations and auditing experience, knowledge of healthcare payment methodologies, strong organizational, interpersonal, and communication skills, an inquisitive nature with data analysis ability, proficiency with Microsoft Office, and strong ethics.

This information is not specified in the job description.

You will join Humana’s Special Investigations Unit Oklahoma Medicaid Team, report to the SIU Director, and work closely with Humana’s Oklahoma Market, while coordinating with OHCA, MFCU, and other agencies.

A strong candidate will be an Oklahoma resident with 2+ years of healthcare fraud investigations experience, relevant certifications like CFE or CPC, a bachelor's degree, and knowledge of healthcare claims processing.