• Investigator

    Highmark Health (Atlanta, GA)
    …Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider ... for conducting investigations of organizational or functional activities related to alleged fraud , waste and abuse perpetrated by providers, members, facilities,… more
    Highmark Health (08/15/25)
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  • Special Investigation Unit Lead Review Analyst…

    CVS Health (Atlanta, GA)
    fraud and abuse **Required Qualifications** 1 year experience working on health care fraud , waste , and abuse investigatory and audits required. * Knowledge of ... depositions, etc. **Preferred Qualifications** 1-3 years experience working on health care fraud , waste , and abuse investigations and audits required or… more
    CVS Health (08/20/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Atlanta, GA)
    …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
    CVS Health (08/24/25)
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