• Fraud and Waste Investigator

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of ... reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement… more
    Humana (11/21/25)
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  • Investigator 1 - FWA Prepayment Review

    Point32Health (Canton, MA)
    …prevent future loss. This role will be responsible for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the ... Investigation Unit ("SIU") responsible for leading complex provider investigations related to fraud , waste , and abuse, and developing action plans to address… more
    Point32Health (10/31/25)
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  • Senior Investigator , Special…

    CVS Health (Boston, MA)
    …the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex… more
    CVS Health (11/19/25)
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  • Fraud Investigation Analyst

    Zelis (Boston, MA)
    …certification as a Certified Fraud Examiner (CFE), Accredited Health Care Fraud Investigator (AHFI), Health Care Anti- Fraud Associate (HCAFA), Certified ... in prevention, detection, reporting, and monetary recovery related to financial fraud and healthcare fraud , waste , and abuse. What You'll Do + Perform… more
    Zelis (10/23/25)
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