- 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)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... pharmacy claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan,… more