Senior Fraud, Waste and Abuse Specialist

Job not on LinkedIn

🕒 July 29

🐊 Florida – Remote

🐊 Florida – Remote

💵 $65.3k - $111k / year

⏰ Full Time

🟠 Senior

👻 Ghost score 33%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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PACIFICSOURCE

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1933

Not-for-profit health plans

📋 Description

• Support the development and maintenance of the Payment Integrity and FWA program framework • Develop, implement, and maintain program policies, workflows, procedures, and controls • Maintain centralized tracking and reporting systems for investigations, recoveries, referrals, and regulatory activities • Serve as primary liaison with CMS, MEDIC, OHA, Medicaid Fraud Units, and other oversight agencies

🎯 Requirements

• Minimum of 5 years of experience in fraud, waste, and abuse (FWA) • Experience analyzing healthcare claims data • Knowledge of payment integrity practices • Bachelor's degree in business or related field required

🏖️ Benefits

• Health insurance • Flexible work arrangements