- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, ... to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues +...Bachelor's degree + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge… more
- Amazon (Arlington, VA)
- …concise and persuasive narrative creation that documents complex fraud investigations , new program ideas, and periodic senior leadership updates *Understand ... You will own month-end goal reporting, cross-organization stakeholder management, work with internal fraud operations teams on best practices, identify training… more
- Sharp HealthCare (San Diego, CA)
- …other requirements for the position, and employer business practices. **What You Will Do** The Senior Fraud , Waste and Abuse Specialist at Sharp Health Plan is a ... critical role responsible for overseeing the entire lifecycle of fraud , waste, and abuse (FWA) investigations . This position involves triaging allegations,… more
- Amazon (Seattle, WA)
- …Pillar within Fraud Prevention. The Special Service Pillar includes a Fraud Investigations , Intelligence and Disruptions Team, an Audit and Escalations Team, ... Description We are seeking a Senior Security Engineer to join the AWS Fraud Prevention team. The mission of AWS Fraud Prevention is to protect AWS and its… more
- Robert Half (Chicago, IL)
- …You: Protiviti is looking for a Fraud Risk Management / Forensic Accounting Senior Manager to join our growing Internal Audit & Financial Advisory team. This ... JOB REQUISITION Chicago Fraud Risk Management & Forensic Accounting- Senior...success in anti-bribery and anti-corruption compliance assessments and audits, fraud investigations , and fraud risk… more
- CVS Health (Hartford, CT)
- …Summary** As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... during civil and criminal proceedings + Gives presentations to internal and external customers regarding healthcare fraud ...or equivalent experience (3-5 years of working health care fraud , waste and abuse investigations ). **Pay Range**… more
- CVS Health (Tallahassee, FL)
- …affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex … more
- NBT Bank (Lakeville, CT)
- Pay Range: $26.81 - $35.79 The Senior Fraud /AML Investigator will work fraud and money laundering cases as assigned by the BSA Officer and Security Officer ... that can occur in a banking environment, including deposit fraud . internal fraud . card ...Court. + Must have the ability to work multiple inquiries/ investigations simultaneously Tasks Performed: + 60% Complete case … more
- Walmart (Bentonville, AR)
- Position Summary What you'll do The **Sr. Manager, Global Investigations ** will lead and focus on complex investigations related to a wide variety of topics, ... such as fraud , theft, commercial corruption, sexual harassment/discrimination, consumer fraud...allegations from a variety of channels and conducti complex investigations across multiple business segments. + Work with Ethics,… more
- CVS Health (Columbus, OH)
- …Summary:** As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... during civil and criminal proceedings - Gives presentations to internal and external customers regarding healthcare fraud ...or an additional 5 years of working health care fraud , waste and abuse investigations . **Pay Range**… more
- GE HealthCare (Chicago, IL)
- **Job Description Summary** The candidate will manage and conduct internal investigations globally and advise business leaders on fraud and abuse prevention ... Characteristics:** + Prior experience in conducting and managing highly sensitive internal corporate investigations . + Prior prosecutorial experience. +… more
- Sysco (Houston, TX)
- …**RESPONSIBILITIES:** + In cooperation with the Legal and HR teams, investigate potential internal fraud and other ethics and compliance matters as assigned. + ... SUMMARY:** In this position, you will report to the Director of Investigations and will support investigation projects consisting of conducting interviews, seeking… more
- Fallon Health (Worcester, MA)
- …**Primary Job Responsibilities:** + This position supports the Senior Director of Internal Audit in their leadership of the Fraud , Waste and Abuse (FWA) ... summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret...Strong attention to detail with the ability to identify fraud , assess the impact, resolve investigations , mitigate… more
- Amazon (Seattle, WA)
- …where we cannot apply automation. Key job responsibilities We are looking for a Senior Investigations Specialist to join the POE program. This individual will be ... ambiguous environment and identify and drive long-term solutions. The Senior Investigations Specialist will work in partnership...- 2+ years of Amazon experience - Experience in fraud and risk investigations and/or product authentication… more
- International Rescue Committee (New York, NY)
- …for the IRC's Anti- Fraud /Corruption Program, The IRC Way, and internal investigations of safeguarding violations against IRC's clients, allegations involving ... throughout the IRC, and strengthen on-the-ground capacity in compliance and internal controls * Oversee anti- fraud /anti-corruption compliance, staying up to… more
- Needham Bank (Wellesley, MA)
- …for maintaining MIS for internal department use, as well as reporting to senior management and other departments. + Serve in a QC function for various BSA ... internal department use, as well as reporting to senior management and other departments. + Provides guidance and...Knowledge of applicable banking laws and procedures relevant to fraud mitigation and investigations . + Strong and… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …* Concepts, principles, and best practices of agile project/program management. * Internal and External fraud investigations and detection programs ... fraud prevention and surveillance capabilities. * Evaluate, enhance, improve investigations and surveillance associated with Fraud , Anti-Money Laundering… more
- Bank of America (Charlotte, NC)
- …Document and implement industry best practices; lead cross-functional initiatives within the fraud and/or claims Space. Work with internal clients to understand, ... complete write ups on high dollar defect accounts, document and evaluate existing/new fraud policies and understand internal systems and processes to understand… more
- Highmark Health (Columbus, OH)
- …Risk Operations and Internal Audit team members to facilitate the execution of internal investigations and fraud related audits based on reports or ... To Include + 5 years conducting internal ethics, fraud , privacy and security investigations **Preferred** + 3 years in Operations and/or IT Auditing **OR**… more
- Amazon (Seattle, WA)
- …and strategic Program Manager to lead our global initiatives in combating gift card fraud and abuse. In this role, you will be responsible for developing and ... comprehensive programs aimed at mitigating risks associated with gift card fraud , protecting our customers, and safeguarding our business interests worldwide. Key… more