Investigator
HealthPlan Services
Health Plan in Charleston, WV is seeking a Full Time Nurse Investigator to join the Special Investigations Unit. You will detect and investigate suspected fraud, waste, and abuse, review medical charts, coding, and billing to ensure program integrity, and support regulatory compliance. The role requires an RN license, coder certification or eligibility, coding knowledge, and experience with WV Medicaid or Medicare. #J-18808-Ljbffr
Vacancy posted 4 days ago
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