- 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
- CVS Health (Tallahassee, FL)
- …and Python who can transform complex healthcare data into actionable insights to support fraud , waste , and abuse (FWA) detection and Medicaid regulatory & ... + Design, develop, and maintain complex data analyses to support investigations of potential fraud , waste , and abuse in Medicaid claims and provider… more
- Highmark Health (Tallahassee, FL)
- …that encourage managers and employees to report Medicaid/CHIP program noncompliance and suspected fraud , waste , and abuse (FWA) and other misconduct without ... growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted business partner,… more
- Elevance Health (Tampa, FL)
- …and minimum of 3 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 (Miami, 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