• Fraud , Waste & Abuse

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    The Manager , Fraud , Waste & Abuse (FWA) provides leadership and oversight of the FWA area. The position involves the management of the FWA Program in ... and work plan + Lead special investigations + Research, investigate and report fraud , waste and abuse cases + Utilize internal system, external platforms and… more
    DOCTORS HEALTHCARE PLANS, INC. (07/16/25)
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  • Fraud and Waste Investigator

    CenterWell (Tallahassee, FL)
    …2 is responsible for conducting comprehensive investigations of reported, alleged, or suspected fraud , waste , or abuse . This role involves varied work ... departments to identify trends and analyze claims for potential fraud , waste , and abuse (FWA),...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/16/25)
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  • Health Insurance Fraud Analyst III

    MyFlorida (Tallahassee, FL)
    …a broad scope of data analytics to proactively identify qualified leads for potential fraud , waste , and abuse (FWA) investigations. The selected candidate ... collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case strategies...reports and statistical/financial analysis to support findings of potential fraud , waste , and abuse . +… more
    MyFlorida (07/10/25)
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  • Financial Crime Investigator I (Pending…

    MyFlorida (Orlando, FL)
    …the Division of Public Assistance Fraud is to aggressively identify and eliminate fraud , waste , and abuse to safeguard the integrity of taxpayer funded ... EMPLOYMENT OPPORTUNITY DIVISION: CRIMINAL INVESTIGATIONS DIVISION BUREAU: PUBLIC ASSISTANCE FRAUD CITY: ORLANDO COUNTY: ORANGE SPECIAL NOTES: The Criminal… more
    MyFlorida (07/09/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    …and minimum of 4 years medical coding/auditing experience, including minimum of 1 year in fraud , waste abuse experience; or any combination of education and ... and/or entities that may pose potential risk associated with fraud and abuse . **How you will make...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (07/15/25)
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  • Asset Protection/Safety Investigator (Full-Time w/…

    Navy Exchange Services (NEX) (Pensacola, FL)
    …detect and detain individuals suspected of shoplifting. Investigates other suspected incidents of fraud waste and abuse as directed. Prepares case reports ... Conducts audits as directed by the Loss Prevention Safety Manager or Supervisor of cash registers cash offices retail...dress code as prescribed by the Loss Prevention Safety Manager or Supervisor based on assigned duties. Promotes and… more
    Navy Exchange Services (NEX) (07/18/25)
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