Description We are looking for an experienced Risk Manager to support fraud, waste, and abuse oversight for a healthcare organization in Sunrise, Florida. This Long-term Contract position focuses on protecting program integrity through investigations, compliance monitoring, data analysis, and collaboration with regulatory and enforcement partners. The role is well suited to an individual who is detail oriented and can manage sensitive cases, interpret complex requirements, and drive recovery opportunities with accuracy and professionalism.

Responsibilities:
• Lead fraud, waste, and abuse oversight activities to strengthen program integrity and support healthcare risk management objectives.
• Build and maintain effective working relationships with Medicaid program integrity representatives, including participation in collaborative meetings and timely responses to inquiries.
• Direct investigative case management from initial referral through documentation, resolution, ...