- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and ... abusive practices. The Manager , Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately… more
- NANA Regional Corporation (Fort Gordon, GA)
- …attention to detail. + Maintains sensitivity to, and report on, instances of fraud , waste and abuse. + Demonstrated knowledge of project management processes ... **Responsibilities** + This position is responsible to the company President/General Manager for the direction, safe operation, compliance, quality delivery and… more
- CVS Health (Atlanta, 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
- Elevance Health (Atlanta, GA)
- …evaluate and recommend focused investigative activities involving market trends indicating Fraud , Waste and Abuse within the healthcare industry. **How ... Overview:** Responsible for providing leadership and guidance to the Special Investigations Unit **Pharmacy** team in investigating, collecting, researching and… more