- Molina Healthcare (Miami, FL)
- …opportunities for process developments and improvements. + Provides oversight of research and analytics associated with medical claims processing requirements ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
- 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 compliance with ... and oversee the FWA Program and work plan + Lead special investigations + Research , investigate and report fraud, waste and abuse cases + Utilize internal system,… more