• Manager , Fraud & Waste

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical ... of objectives and determines approach, resources, schedules and goals. The Manager , Fraud and Waste Investigator: Nurse Audit/Review validates and interprets… more
    Humana (11/04/25)
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  • Manager , Special Investigation

    CVS Health (Albany, NY)
    …in federal and state audits. **Required Qualifications** + 2 to 5 years of managing healthcare fraud , waste and abuse investigations and audits. + 3 to 5 ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud ...Leads a team in the planning and execution of investigations of acts of healthcare fraud and… more
    CVS Health (10/19/25)
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  • Deputy Director of EISG: Position for Expr. IT…

    New York State Civil Service (Albany, NY)
    …and attorneys to identify enforcement opportunities and effective strategies for combatting waste , fraud , and abuse in healthcare programs.* Providing expert ... of the Title Deputy Director of EISG: Position for Expr. IT Manager (6406) Occupational Category Legal Salary Grade NS Bargaining Unit M/C - Managerial/Confidential… more
    New York State Civil Service (10/10/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all ... + Prepares recommendations on preventive/corrective measures for the deterrent of future fraud . + Supports other SIU investigators and analysts with their cases by… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Construction Advisory Manager (Forensic)

    Grant Thornton (New York, NY)
    …and/or pertinent to tax credit incentives. + Assisting in matters involving fraud , waste , and abuse, including allegations of bribery, collusion, conflicts ... As a Real Estate/Construction Advisory Manager , you will get the opportunity to grow...include planning, directing, and completing projects and services for investigations , litigation support, project monitoring initiatives, and developing and… more
    Grant Thornton (10/08/25)
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