- CVS Health (Plantation, FL)
- …Unit is seeking a Sr. Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing and managing ... ensuring compliance with regulatory requirements. The Senior Manager develops strategies to mitigate fraud risks,...Management:** + Direct and oversee complex investigations into suspected healthcare fraud , waste, and abuse. + Ensure… more
- Elevance Health (Miami, FL)
- **Clinical Provider Auditor Senior ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...next step in the claim's lifecycle. + Research new healthcare related questions as necessary to aid in investigations… more
- Elevance Health (Miami, FL)
- …independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client ... ** Senior Investigator (Investigator Sr)** _Location: This position will...+ Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than… more