Weโre building a world of health around every individual โ shaping a more connected, convenient and compassionate health experience. At CVS Healthยฎ, youโll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger โ helping to simplify health care one person, one family and one community at a time. Position Summary The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni
Jobiba hiring network
Unit Manager Jobs
538 active opportunities ยท Updated for October 2026
Fresh results
15 shown
Explore current unit manager jobs. Use filters to narrow by work mode, employment type, experience and date posted.
Automated Dispensing Unit, Pharmacy Tech, Full Time โ SC - Spartanburg. Apply via Workday.
Verification Engineer - ARM Fabric Unit Level โ 2 Locations. Apply via Workday.
Investigator, Special Investigations Unit (Meritain Health) โ 49 Locations. Apply via Workday.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) โ 48 Locations. Apply via Workday.
Behavioral Health Senior Investigator (BCBA), Special Investigations Unit (Aetna SIU) โ CT - Hartford. Apply via Workday.
Specialist - F&A - AP 4A โ Tower 8, SEZ Unit-I. Apply via Workday.
Developer - Cloud Technologies P 4A โ Tower 8, SEZ Unit-I. Apply via Workday.
Delivery Leader - Insurance 2 โ 1401-G-India: Unitech, Tower 8, SEZ Unit-I, Noida. Apply via Workday.
Sr. Associate - F&A - I2C 5B โ 1401-G-India: Unitech, Tower 8, SEZ Unit-I, Noida. Apply via Workday.
Xfinity Retail Sales Consultant โ CO - Arvada, 5220 Wadsworth Byp Unit B - Retail XFR3360. Apply via Workday.
Xfinity Retail Service Associate โ CO - Arvada, 5220 Wadsworth Byp Unit B - Retail XFR3360. Apply via Workday.
... Address: Unit 2 1st 6th and 7th floors Phoenix Info City H01A Gachibowli Serilangampally (M) Hitech city Phase 2 Hyderabad Ranga Reddy Dist Telangana Facility: HYUNDAI MOBIS - FS HYD Qualification: Not Specified Experience: 4 - 5 years Source: Sodexo India | Job Code: IJP573927
... Address: Unit 1 8th floor part BLDG no 12 B MS Sundew properties Ltd IT ITES SEZ Mindspace Madhapur Serilangampally Facility: HYUNDAI MOBIS - FS HYD Qualification: Not Specified Experience: 3 - 3 years Preferred Gender: FEMALE Source: Sodexo India | Job Code: IJP573928
... Address: Unit 74 7th Floor Kalpataru Square Off Andheri Kurla Road Facility: FIRST DATA INDIA - FM MUMBAI Qualification: Diploma Experience: 5 - 7 years Source: Sodexo India | Job Code: IJP572378
Get new unit manager jobs by email
Daily job updates ยท Unsubscribe anytime