- 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
- Zelis (Boston, MA)
- … Fraud in prevention, detection, reporting, and monetary recovery related to financial fraud and healthcare fraud , waste, and abuse. What You'll Do ... it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare...interests that shape who you are. Position Overview The Fraud Investigation Analyst , Enterprise Fraud ,… more
- New York State Civil Service (New York, NY)
- …detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. The Medicaid ... NY HELP No Agency Attorney General, Office of the Title Medical Analyst : Legal Nurse, Fraud /Patient Abuse (6413) Occupational Category Legal Salary Grade NS… more
- US Bank (Fargo, ND)
- …from Day One. **Job Description** We are hiring for an exciting opportunity as a Fraud Risk Analyst within US Bancorp's Quantitative Fraud Strategy team. In ... Success in this position requires a deep understanding of fraud risk and advanced analytical skills using tools such...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… 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
- City National Bank (Newark, DE)
- *REPORTING ANALYST III* *WHAT IS THE OPPORTUNITY?* The Reporting Analyst III is an integral part of the Enterprise Fraud Management team. The role is ... accountable for owning and evolving Fraud Risk Management managerial reporting. Reporting includes gathering data...management, reporting and query tool or as a Business Analyst * Minimum 3 years in the Financial Services… more
- Molina Healthcare (Syracuse, NY)
- …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
- City National Bank (Phoenix, AZ)
- *BUSINESS PROCESS ANALYST LEAD* *WHAT IS THE OPPORTUNITY?* This role is an opportunity to play an integral role on the Enterprise Fraud Management team. The role ... requires Fraud subject matter expertise, accountability for a specific Fraud Risk portfolio (eg, a product like credit cards, or a channel like digital… more
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