FULL_TIME

FEED

OTHER

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

TriWest Healthcare Alliance

Program Integrity Investigator

equestftpin

UNKNOWN

Outside the cath lab, you will work closely with hospital administrators, purchasing teams, and cross‑functional Medtronic partners—including Enterprise Accounts, Strategic Accounts, Sales Leadership, clinical specialists, and inventory analysts—to drive access, influence pricing and contract strategies. The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).

Medtronic

Senior Coronary Cathworks Territory Manager - Milwaukee, WI

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Fraud Specialist Jobs in Wisconsin

Fraud Specialist Jobs in Wisconsin

Program Integrity Investigator TriWest Healthcare Alliance

Senior Coronary Cathworks Territory Manager - Milwaukee, WI Medtronic

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