- Stanford Health Care (Palo Alto, CA)
- …of detailed healthcare corporate compliance functions and audits to identify and eliminate waste , fraud and abuse , and inefficiencies in conformance with ... **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle… more
- Lyric (Newtown Square, PA)
- …in healthcare, such as prior work in health insurance, claims processing or adjudication, or fraud , waste and abuse detection + 1+ years of experience in ... of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use...support are not available for this position. The Data Analyst will support excellence of execution with post payment… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Analyst - Fraud , Waste & Abuse (FWA) provides leadership in in the investigation of potential FWA cases; its main goal is aimed at ... detection and prevention of fraud , waste , and abuse . Key Responsibilities: + Conduct in-depth investigations of potential FWA cases using monitoring, audits,… more
- State of Minnesota (St. Paul, MN)
- …and employers and staff. The incumbent will ensure reported and actual instances of fraud , waste , and abuse are investigated, remediated, and minimized. The ... **Working Title: Principal Fraud Risk and Audit Analyst ** **Job...managers and staff on how to implement recommendations on anti- fraud , waste , and abuse activities.… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …investigation targets, proposes new methods of data analytics and healthcare informatics to discover Fraud , Waste and Abuse activities as well as provide ... program-wide trend analysis. The Senior Data Analyst will use advanced analytics, predictive modeling, and proactive data analysis to identify trends and patterns.… more
- General Dynamics Information Technology (Fairfax, VA)
- …be part of a 50-person team supporting the TTP which was established in 2012 to reduce fraud , waste and abuse in healthcare data. We are GDIT. The people ... At GDIT, people are our differentiator. As an Investigative Analyst supporting the Centers for Medicare and Medicaid (CMS),...analytical tasks in support of HFPP program, including identifying fraud , waste , and abuse referrals… more
- University of Rochester (Rochester, NY)
- … II conducts investigations, risk assessments, and regulatory monitoring to prevent and detect fraud , waste , and abuse , specifically addressing the DRA, NY ... reputational risk. **There are two pathways for the Compliance Analyst II (1: Compliance Billing, Coding, and Education ...with Medicare, Medicaid, and third-party payer billing regulations, and fraud , waste , and abuse prevention.… more
- General Dynamics Information Technology (Riverdale, MD)
- …the classified and unclassified systems of a major Intelligence Community Agency for fraud , waste , and abuse , to include inappropriate content, illegal ... Sun only** Own your career as a Cyber Security Analyst at GDIT. Here, you'll have the opportunity to...logs to determine events of interest. + Monitor for fraud , waste and abuse , including… more
- MyFlorida (Tallahassee, FL)
- …Integrity (MPI). MPI is the Agency's lead unit responsible for oversight of Medicaid fraud , waste , and abuse , and ensure compliance with applicable laws, ... 68055647 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Oct 17, 2025 The State Personnel...a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified… more
- City of New York (New York, NY)
- …fluency, and critical thinking are vital to uncovering waste , fraud , and abuse . As a Data Analyst , you will manage and analyze large, disparate data sets ... DOI is seeking a highly skilled and motivated data analyst to join its Data Analytics Unit (DAU), which...enhance practices for identifying patterns and trends related to fraud , waste and abuse . -… more
- CVS Health (Hartford, CT)
- …Analyst ** within the Special Investigations Unit (SIU) plays a key role in supporting fraud , waste , and abuse investigations by managing and responding to ... and documentation across multiple lines of business and jurisdictions. The analyst collaborates closely with investigative teams, legal, compliance, and operational… more
- Option Care Health (Bannockburn, IL)
- …preferably with compliance requirements related to billing and coding, privacy and security, and fraud , waste and abuse , including but not limited to HIPAA, ... key risk areas such as regulatory changes, billing and coding, privacy and security, and fraud and abuse . + Perform data analysis and review of documentation to… more
- MTA (New York, NY)
- …+ Reviews agency processes, procedures, and controls designed to manage and mitigate risk, fraud , waste , and abuse of agency resources. + Works within ... Senior Auditor/ Analyst Job ID: 12882 Business Unit: MTA Inspector...Date Posted: Sep 5, 2025 Description Job Title: Senior Auditor/ Analyst Annual Salary: $89,000 Open & Closing Dates: Open… more
- UPMC (Pittsburgh, PA)
- …with appropriate Health Plan departments including Quality Assurance, Medicare, and the Fraud , Waste team to facilitate the resolution of coding issues, ... either HCC coding, reviews or education, DRG experience, Clinical Documentation Improvement, Fraud & Abuse , Chart Auditing, or Quality Review experience… more
- Air National Guard Units (Springfield, OH)
- …unique to the customer. Manages and executes internal control procedures to protect against fraud , waste , and abuse . Performs other duties as assigned. *The ... 5 EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGEMENT ANALYST , Position Description Number T5636P01 and is part of the OH 178 Wing,… more
- Air National Guard Units (Portland, OR)
- …unique to the customer. Manages and executes internal control procedures to protect against fraud , waste , and abuse . (10%) 7. Performs other duties as ... Summary This National Guard position is for a FINANCIAL MANAGEMENT ANALYST , Position Description Number D2514P01 / D2513P01 and is part of the Oregon Air National… more
- MTA (New York, NY)
- …+ Reviews agency processes, procedures, and controls designed to manage and mitigate risk, fraud , waste , and abuse of agency resources. + Identifies issues ... Principal Auditor/ Analyst Job ID: 12883 Business Unit: MTA Inspector...Date Posted: Sep 5, 2025 Description Job Title: Principal Auditor/ Analyst Annual Salary: $97,500 Open & Closing Dates: Open… more
- New York State Civil Service (New York, NY)
- …correct.* Reviews agency processes, procedures, and controls designed to manage and mitigate risk, fraud , waste , and abuse of agency resources.* Works within ... NY HELP No Agency MTA Inspector General, Office of Title Senior Auditor/ Analyst Occupational Category Other Professional Careers Salary Grade NS Bargaining Unit None… more
- Centene Corporation (Tallahassee, FL)
- …techniques & tools to explore financial performance trends and/or reconciling financial data preferred. ** Fraud , Waste & Abuse :** Experience in fraud / ... waste / abuse identification and investigation, provider billing, or clinical coding preferred; Experience with data mining, machine learning, artificial intelligence, or statistical modeling preferred **Risk Adjustment:** Experience in risk adjustment,… more
- New York State Civil Service (New York, NY)
- …Reviews agency processes, procedures, and controls designed to manage and mitigate risk, fraud , waste , and abuse of agency resources.* Identifies issues ... HELP No Agency MTA Inspector General, Office of Title Principal Auditor/ Analyst Occupational Category Other Professional Careers Salary Grade NS Bargaining Unit… more
