- 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 investigations of potential FWA cases using monitoring, audits,… more
- MyFlorida (Tallahassee, FL)
- …population, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud , abuse , and waste . The Office of Medicaid Program Integrity (MPI) ... 68900186 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel...responsible for developing novel methods and technologies to fight fraud , abuse , and waste . To… more
- MyFlorida (Tallahassee, FL)
- …time. This Medical Health Care Program Analyst position will support the fraud and abuse prevention efforts within the Bureau of Medicaid Program Integrity ... 68064693 - MEDICAL HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel...responsible for developing novel methods and technologies to fight fraud , abuse , and waste . To… more
- MyFlorida (Tallahassee, FL)
- …population, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud , abuse , and waste . The Office of Medicaid Program Integrity (MPI) ... 68900202 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel...responsible for developing novel methods and technologies to fight fraud , abuse , and waste . To… more
- General Dynamics Information Technology (Tampa, FL)
- …the classified and unclassified systems of a major Intelligence Community Agency for fraud , waste , and abuse , to include inappropriate content, illegal ... experience **US Citizenship Required:** Yes **Job Description:** **Cyber Security Analyst - Full time position, but must include working...logs to determine events of interest. + Monitor for fraud , waste and abuse , including… more
- CVS Health (Tallahassee, FL)
- …at Aetna International plays a pivotal role in safeguarding the organization against fraud , waste , abuse (FWA), and compliance violations. This position ... + **Investigative Leadership** : Conducts thorough investigations into suspected fraud , misconduct, or compliance breaches. These include analyzing billing and… more
- CVS Health (Tallahassee, FL)
- …specific self-funded plan sponsor. The lead reviewer is accountable for the validation of existing fraud waste and abuse business rules and leads designed to ... of the scheme on Aetna business. + Keep current with new and emerging fraud , waste , and abuse schemes and trends through training sessions and industry… more
- Centene Corporation (Tallahassee, FL)
- …techniques & tools to explore financial performance trends and/or reconciling financial data preferred. ** Fraud , Waste & Abuse :** Experience in fraud / ... waste / abuse identification and investigation, provider billing, or clinical coding preferred; Experience with data mining, machine learning, artificial intelligence, or statistical modeling preferred **Risk Adjustment:** Experience in risk adjustment,… more
- Molina Healthcare (Miami, FL)
- …coordinating data extractions, gathering requirements, supporting payment integrity teams, primarily fraud , waste and abuse . + Experience working ... emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data… more
- CVS Health (Tallahassee, FL)
- …and Python who can transform complex healthcare data into actionable insights to support fraud , waste , and abuse (FWA) detection and Medicaid regulatory & ... We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a...maintain complex data analyses to support investigations of potential fraud , waste , and abuse in… more