• Quality Reviewer (Aetna SIU)

    CVS Health (Sacramento, CA)
    …state, and local law enforcement agencies to ensure compliance and support the prosecution of healthcare fraud and abuse matters. + Demonstrate a high level ... **Education** + A Bachelors degree or three years of experience in healthcare fraud , waste, and abuse investigations and audits. **Anticipated Weekly Hours**… more
    CVS Health (08/08/25)
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  • Manager, Special Investigation

    CVS Health (Sacramento, CA)
    …of investigators and analysts to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse , to recover lost funds, and ... Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by both members and providers. Provides direction and… more
    CVS Health (08/01/25)
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  • SIU Investigator

    Centene Corporation (Sacramento, CA)
    …fresh perspective on workplace flexibility. **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in ... claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse . + Conduct investigations of potential waste,… more
    Centene Corporation (07/31/25)
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  • Counsel, Transactions - Remote USA

    Danaher Corporation (Los Angeles, CA)
    … industry + Drafting, reviewing, and negotiating various types of agreements + US healthcare fraud and abuse laws, rules, regulations, regulatory guidance, ... various legal issues and associated risks, including transactions with healthcare providers, research institutions, and promotional programs. + Provide… more
    Danaher Corporation (06/26/25)
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  • Counsel - Global Commercial Operations Law

    Amgen (Thousand Oaks, CA)
    …in healthcare industry is a plus but not required, including counseling on: + Healthcare fraud and abuse matters + OIG compliance guidance and advisory ... price concession strategies and risk mitigation with members of the healthcare community (managed care organizations, hospitals, Group Purchasing Organizations (GPO)… more
    Amgen (06/14/25)
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  • Senior Director, Corporate & Regulatory Counsel

    Edwards Lifesciences (Irvine, CA)
    …including US and other medical device regulatory landscape, Advertising and promotion, Healthcare fraud and abuse , Antitrust, Anti-corruption and the ... Requirement** Edwards is committed to protecting our vulnerable patients and the healthcare providers who are treating them. As such, all patient-facing and… more
    Edwards Lifesciences (06/12/25)
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  • Lead Product Manager, ATO, Identity Intelligence…

    DoorDash (San Francisco, CA)
    …DoorDash's platform by building scalable systems that detect and prevent fraud , account takeovers, and identity abuse -without compromising user experience. ... is more important than ever. That's why we're investing in industry-leading fraud defenses to ensure a safe, seamless experience for every customer, Dasher,… more
    DoorDash (06/24/25)
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  • Manager, Fraud and Waste

    Humana (Sacramento, CA)
    …3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud , Waste, and Abuse in a Managed Care setting + Minimum 3 years of ... investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced… more
    Humana (08/09/25)
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  • Senior Counsel REMOTE

    Danaher Corporation (Brea, CA)
    …would be a plus if you also possess previous experience in: + Experience with healthcare regulation, including: fraud and abuse (eg, anti-kickback); FDA for ... we've been dedicated to advancing and optimizing the laboratory to move science and healthcare forward. Join a team where you can be heard, be supported, and always… more
    Danaher Corporation (07/11/25)
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  • Senior Counsel, Commercial

    Danaher Corporation (Brea, CA)
    …would be a plus if you also possess previous experience in: + Experience with healthcare regulation, including: fraud and abuse (eg, anti-kickback); FDA for ... we've been dedicated to advancing and optimizing the laboratory to move science and healthcare forward. Join a team where you can be heard, be supported, and always… more
    Danaher Corporation (07/04/25)
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