- The Clorox Company (Oakland, CA)
- …identify ways to increase efficiency and effectiveness **Investigation Management** + Fraud Investigation Management: Lead and manage complex fraud ... to uncover fraudulent activities and provide actionable insights. + Fraud Risk Assessment: Develop and implement fraud ...+ Fraud Risk Assessment: Develop and implement fraud risk assessment frameworks to identify and mitigate potential… more
- State of Georgia (Fulton County, GA)
- …experience in medical claims and/or claims data. . Certification as a CPA or a CFE ( Certified Fraud Examiner ). Additional Information: A criminal ... auditing experience, medical claims and/or claims data. Certification as a CPA or a CFE ( Certified Fraud Examiner ) is a plus. Additional Information +… more
- SMBC (Los Angeles, CA)
- … investigation environment, or any combination of both in the Banking/Financial Services Industry. + Certified Fraud Examiner ( CFE ) or Certified ... Services **JOB SUMMARY:** Reporting to the MANUBANK COO, the Fraud Risk Manager will manage the Bank's fraud... Fraud Risk Manager will manage the Bank's fraud prevention efforts to ensure adequate measures are in… more
- ManTech (Coffeyville, KS)
- …+ US Citizenship required + Bachelor's degree in business or related field. + Active Certified Fraud Examiner ( CFE ) or equivalent certification + 10+ ... ManTech is seeking an Executive Director of Fraud Investigations to lead and manage the organization's...manage the organization's efforts in detecting, preventing, and investigating fraud . This role is responsible for overseeing the investigative… more
- Byline Bank (Chicago, IL)
- …Ability to communicate with colleagues and the BSA Officer regarding issues and findings. + Certified Fraud Examiner ( CFE ) designation is highly desired, ... a supportive, growth-oriented environment, let's connect to discuss this Fraud Analyst opportunity! **Objective of Position** : The ...Fraud Analyst opportunity! **Objective of Position** : The Fraud Analyst works with all Byline Staff in order… more
- Fallon Health (Worcester, MA)
- …or similar. + Additional certification applicable to this work is a plus, such as Certified Fraud Examiner ( CFE ), Accredited Healthcare Fraud ... Director of Internal Audit in their leadership of the Fraud , Waste and Abuse (FWA) program. The FWA Manager...+ Assist in the development, implementation and manage strategic fraud , waste and abuse (FWA) activities by maintaining state… more
- CVS Health (Wellesley, MA)
- …Qualifications:** + Minimum 3+ years in a leadership role. + Relevant certifications (eg, Certified Fraud Examiner ( CFE ), accredited healthcare fraud ... seeking a Sr. Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing and managing fraud detection,… more
- Bank OZK (Little Rock, AR)
- …and/or Bank Secrecy Act reporting, required. + Certification in a relevant discipline (ie, Certified Fraud Examiner - CFE , Certified Financial Crimes ... Job Purpose & Scope Responsible for performing fraud incident investigations and case management, including collaboration...loss to the Bank. Essential Job Functions + Performs fraud incident management for instances described within the Bank's… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …combination of experience, education, and/or training. **Licenses/Certifications** * None required. * Certified Fraud Examiner ( CFE ), Certified ... direction with a high level of autonomy, lead the development of enterprise-wide fraud analytics capabilities. The Director, Fraud Analytics, will support the… more
- Sharp HealthCare (San Diego, CA)
- …(CHC) - Health Care Compliance Association (HCCA) -PREFERRED **Other Qualification Requirements** + Certified Fraud Examiner ( CFE ) or Accredited ... 1 **Shift Start Time** **Shift End Time** Bachelor's Degree; Certified in Healthcare Compliance (CHC) - Health Care Compliance...employer business practices. **What You Will Do** The Senior Fraud , Waste and Abuse Specialist at Sharp Health Plan… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …combination of experience, education, and/or training. **Licenses/Certifications** * None required. * Certified Fraud Examiner ( CFE ), Certified ... **Job Summary** Under limited direction, support the development of enterprise-wide fraud analytics capabilities. The Manager, Fraud Analytics, will assist… more
- Truist (Charlotte, NC)
- …+ Advanced Business Degree (MBA, MS, MA, etc.) + Industry Certification such as Certified Fraud Examiner ( CFE ) + Experience in establishing ... may change from time to time. + Design, establish and execute fraud risk management program and oversight framework that ensures appropriate identification,… more
- Wells Fargo (Wilmington, DE)
- …questions + Ability to learn and assimilate information from multiple people and sources + Certified Fraud Examiner ( CFE ) **Job Expectations:** + This ... Fargo is seeking a Senior Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer...cause analysis in the ACH and on-us check victim fraud space + Consult and perform complex analyses involving… more
- RELX INC (New York, NY)
- …and data forensics. + Have experience in fraud prevention and analysis, with CFE ( Certified Fraud Examiner ) certification highly preferred. + Have ... of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You… more
- Guidehouse (New York, NY)
- …company, regulator, or enforcement agency. + Familiarity with case management tools. + Certified Fraud Examiner ( CFE ) or forensic accounting/financial ... **:** Guidehouse has an aggressive growth strategy for its Healthcare Fraud , Financial Crime, Compliance, and Investigative Services (FFI-Health) team. FFI-Health is… more
- The Cigna Group (Bloomfield, CT)
- …Excel, Access and Word. + Accredited Health Care Fraud Investigator (AHFI) certification and Certified Fraud Examiner ( CFE ) preferred. If you will be ... **POSITION SUMMARY** Join our Special Investigations Unit as a Fraud Investigator, supporting our US Commercial Healthcare Business, responsible for conducting and… more
- M&T Bank (Amherst, NY)
- …+ Detail-oriented **Education and Experience Preferred:** + Criminal Justice or Management degree + Certified Fraud Examiner ( CFE ), Certified ... **Overview:** Investigates multiple complex internal and external fraud cases within assigned region. Conducts interviews as...and disciplines to prevent, detect, and resolve theft and fraud at the branch level. Attend branch manager and… more
- Guidehouse (New York, NY)
- …background. + Experience with Medicare and Medicaid program rules and regulations. + Certified Fraud Examiner ( CFE ) or forensic accounting/financial ... Guidehouse continues to invest in its Financial Crimes and Fraud technology practice and is currently seeking candidates with...science. This role is to support its growth in fraud across both the public and commercial sectors, and… more
- NBC Universal (New York, NY)
- …+ Previous experience working with remote teams, international experience a considerable plus. Certified Fraud Examiner certification. + Lean Six Sigma ... reflects the current and ever-changing face of the world. Role Purpose: The Director, Fraud /Loss & Incident Management is responsible for overseeing the fraud &… more
- McAfee, Inc. (San Jose, CA)
- …(Signifyd, Sift, Kount, Verifi, Ethoca, Chargeback Gurus, etc.). * Relevant certifications (eg, Certified Fraud Examiner , Certified Risk Manager) are ... **_Job Title:_** Senior Payments Manager, Fraud and Disputes - Remote **_Role Overview:_** The...Disputes - Remote **_Role Overview:_** The Senior Payments Manager, Fraud and Disputes with the Payments team truly is… more