• Manager , Fraud and Waste…

    Humana (Boston, MA)
    **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
    Humana (12/24/25)
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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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  • Healthcare Analytics Business Consultant (SQL…

    CVS Health (Boston, MA)
    …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 (12/17/25)
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