- PNC (Pittsburgh, PA)
- …on-going communication with model owners and model developers during the course of the review . Works with large data to create models. + Performs the most complex ... options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and… more
- MyFlorida (Miami, FL)
- …or other criminal violations for law enforcement investigation. This Medical Health Care Program Analyst position will support the fraud and abuse prevention ... 68064378 - MEDICAL/ HEALTH CARE PROGRAM ANALYST Date: Jun...is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program… more
- MyFlorida (Miami, FL)
- …or other criminal violations for law enforcement investigation. This Medical Health Care Program Analyst position will support the fraud and abuse prevention ... 68900289 - OPS MEDICAL/ HEALTH CARE PROGRAM ANALYST Date: Jun...is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program… more
- Highmark Health (Tallahassee, FL)
- …incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud , waste and abuse case, ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations...+ 1 year in Financial Analysis in an acute care hospital or health insurance setting +… more
- LA Care Health Plan (Los Angeles, CA)
- …Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state ... Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable...each quarter and annually. Primarily responsible for the creation, review , and submission of departmental policies and procedures annually.… more
- City of New York (New York, NY)
- …found to be eligible can use coverage provided to access doctors, medication and other health care services at little or no cost. The Medical Assistance Program ... the three divisions keep pace with changes relating to health care reform and anticipated program growth...responsibility areas. - Identify areas of vulnerability for committing fraud , and program changes through the monthly statistics and… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …plan and insight on proposed changes to regulations and legislation. About Us: DMHAS is a health care agency whose mission is to promote the overall health ... Director Of Program Monitoring And Fiscal Review Hybrid Recruitment # 250521-1796MP-001 Location Hartford, CT Date Opened 6/4/2025 12:00:00 AM Salary $111,028 -… more
- CVS Health (Sacramento, CA)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...protect patient well-being. As the Medical Director of Healthcare Fraud Investigations, you'll lead our efforts to detect, prevent,… more
- State of Massachusetts (Boston, MA)
- …government funding (like pandemic relief), public procurement, and state and local government. * Health Care Division * In 2023, Inspector General Jeffrey Shapiro ... shifted the review of Medicaid (MassHealth) and the Health ...the Office of Medicaid, HSN provides access to essential health care services for low-income, uninsured or… more
- Option Care Health (Phoenix, AZ)
- …home infusion provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion ... Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion ...with a strong focus on preventing, detecting, and addressing fraud , waste and abuse (FWA). This leader promotes a… more