• Manager , Fraud and Waste

    Humana (Atlanta, GA)
    … leads and monitors investigations of allegations of fraudulent and abusive practices. The Manager , Fraud and Waste works within specific guidelines and ... goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement authorities. Leads...Medicare experience + Minimum 3 years of experience with Fraud , Waste , and Abuse in either a… more
    Humana (09/24/25)
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  • Healthcare Analytics Business Consultant (SQL…

    CVS Health (GA)
    …Python who can transform complex healthcare data into actionable insights to support fraud , waste , and abuse (FWA) detection and Medicaid regulatory & compliance ... + Design, develop, and maintain complex data analyses to support investigations of potential fraud , waste , and abuse in Medicaid claims and provider activity. +… more
    CVS Health (10/08/25)
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  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    …of 3 years medical coding/auditing experience, including minimum of 1 year in fraud , waste abuse experience; or any combination of education and experience, ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an Impact:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (10/09/25)
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  • Business Information Developer Consultant Senior…

    Elevance Health (Atlanta, GA)
    …leading data-focused teams. + Exposure to advanced analytics, machine learning, or fraud / waste /abuse detection. + Expert level PC, spreadsheet, and database ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (10/07/25)
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