• Manager , Special Investigation

    CVS Health (Albany, NY)
    …federal and state audits. **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 years of ... activities related to the prevention, investigation, and prosecution of health care fraud to recover lost funds. Responsible for compliance with state and federal… more
    CVS Health (10/19/25)
    - Related Jobs

  • Deputy Director of EISG: Position for Expr. IT…

    New York State Civil Service (Albany, NY)
    …and attorneys to identify enforcement opportunities and effective strategies for combatting waste , fraud , and abuse in healthcare programs.* Providing expert ... of the Title Deputy Director of EISG: Position for Expr. IT Manager (6406) Occupational Category Legal Salary Grade NS Bargaining Unit M/C - Managerial/Confidential… more
    New York State Civil Service (10/10/25)
    - Related Jobs

  • Account Manager

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …on the specific position **Required Training:** + HIPAA Privacy & Security Course + Fraud , Waste and Abuse Course **Job Skill Requirements:** + Business to ... primary point of contact for ProAct clients, the Account Manager is responsible for building relationships with new clients...vendors to meet and exceed client expectations. The Account Manager will work with operations to ensure proper execution… more
    KPH Healthcare Services, Inc. (09/22/25)
    - Related Jobs

  • Care Manager , RN - Restricted Recipient…

    Healthfirst (NY)
    …program resources.** + **Conducts medical reviews of member usage patterns analyzing for fraud , waste or abuse trends to determine whether restrictions should be ... the relevant product line** + **Relevant work experience preferably as a Care Manager ** + **Demonstrated ability to manage large caseloads and effectively work in a… more
    Healthfirst (10/23/25)
    - Related Jobs

  • Construction Advisory Manager (Forensic)

    Grant Thornton (New York, NY)
    …and/or pertinent to tax credit incentives. + Assisting in matters involving fraud , waste , and abuse, including allegations of bribery, collusion, conflicts ... As a Real Estate/Construction Advisory Manager , you will get the opportunity to grow and contribute to our clients' business needs and be responsible for all phases… more
    Grant Thornton (10/08/25)
    - Related Jobs

  • Investigator

    New York State Civil Service (New York, NY)
    …will participate in and conduct confidential and sensitive investigations regarding allegations of fraud , waste and abuse or other corrupt activities that may ... reports.Duties and Responsibilities:* Conduct high-quality, complex, comprehensive, investigations into allegations of fraud , waste , and abuse by the MTA and its… more
    New York State Civil Service (08/01/25)
    - Related Jobs

  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of business. The scope ... + Prepares recommendations on preventive/corrective measures for the deterrent of future fraud . + Supports other SIU investigators and analysts with their cases by… more
    Excellus BlueCross BlueShield (09/17/25)
    - Related Jobs