• Senior Analyst , Special Investigative Unit

    CVS Health (Austin, TX)
    …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
    CVS Health (08/24/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Fort Worth, TX)
    …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare, Medicaid , and Marketplace lines of business . + Certified … more
    Molina Healthcare (08/14/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Dallas, TX)
    …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** ** Business Leadership & Operational Ownership**… more
    Molina Healthcare (08/14/25)
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