- 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 (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified ... 68900202 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel...is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Office of Medicaid Program… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified ... work daily and on time. This Medical Health Care Program Analyst position will support the fraud and abuse prevention efforts within the Bureau of Medicaid… more
- MyFlorida (Tallahassee, FL)
- …with a program integrity related professional certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified ... 68900186 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel...is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Office of Medicaid Program… more
- Molina Healthcare (Miami, FL)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... coordinating data extractions, gathering requirements, supporting payment integrity teams, primarily fraud , waste and abuse. + Experience working on SQL, PowerBI,… more
- CVS Health (Tallahassee, FL)
- …3-5 years. + Strong analytical and investigative skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical ... it all with heart, each and every day. **Position Summary** The Senior Analyst , Investigations at Aetna International plays a pivotal role in safeguarding the… more
- University of Miami (Medley, FL)
- …Health Information Management has an exciting opportunity for a full-time HIM Data Integrity Analyst to work in Miami, FL. The HIM Data Integrity Analyst ... practices that ensure data quality by minimizing errors and opportunity for fraud , allowing patients access to correct data, and implementing corrective and… more
- Carrington (Jacksonville, FL)
- …our amazing team and work remote from home!** The Quality Control Servicing Analyst will be responsible for independently conducting audits of the servicing business ... regulatory requirements, and investor/agency/product specific guidelines. Also, ensure that all fraud red flags are identified and fully investigated, and findings… 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