- 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...management Qualifications: + Minimum of 5 years of FWA, healthcare and/or Medicare Advantage experience + Strong knowledge of… more
- MyFlorida (Tampa, FL)
- …in Tampa, Florida or Orlando Florida, and involves auditing complex multi-million-dollar healthcare fraud investigations that can result in criminal and/or civil ... AUDIT EVALUATION & REVIEW ANALYST - 41001236 Date: Sep 10, 2025 The...as lead investigator on cases involving suspected Cost Report Fraud and Prospective Payment System Medicaid provider fraud… more
- The MITRE Corporation (Tampa, FL)
- …government create lasting impact in fields as diverse as cybersecurity, healthcare , aviation, defense, and enterprise transformation. We're making a difference every ... MITRE's Finance Business Operations is seeking to hire a Travel and Expense Analyst to support our well-established Travel and Expense team. The ideal candidate will… more
- Centene Corporation (Tallahassee, FL)
- …outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data. + Support execution of large-scale ... economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.… more
- CVS Health (Tallahassee, FL)
- …medical codes for diagnoses as documented for physicians and other qualified healthcare providers in the office and/or facility setting. + Thorough knowledge of ... opportunities for providers, vendors and peers. + Expertise in medical documentation, fraud , abuse and penalties for documentation and coding violations based on… more
- CVS Health (Tallahassee, FL)
- …communication skills + Advanced experience in Excel **Preferred Qualifications** + Experience in healthcare fraud , waste and abuse + Knowledge of Medicaid ... We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a...skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud… more