- Amazon (Arlington, VA)
- …moment it hits the financial system. The chosen leader will take ownership of fraud investigations and has a proven track record of managing investigations ... writing through clear, concise and persuasive narrative creation that documents complex fraud investigations , new program ideas, and periodic senior leadership… more
- Amazon (Arlington, VA)
- …moment it hits the financial system. The chosen leader will take ownership of fraud investigations and has a proven track record of managing investigations ... motivated, eager to identify threat actors, and organized Investigator of Corporate Fraud Prevention. The selected individual will support investigations within… more
- SMBC (Phoenix, AZ)
- …an exciting concept of evolved banking. **JOB SUMMARY:** As the Vice President, Fraud Investigations and Support, you are responsible for building and developing ... with other financial institutions to recover funds. The Vice President, Fraud Investigations and Support will also provide customer service for escalated … more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive ... investigations and audits related to waste, abuse, and fraud . This role ensures that all audits comply with...or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or CMS. + Prior… more
- Amazon (Arlington, VA)
- …writing through clear, concise and persuasive narrative creation that documents complex fraud investigations , new program ideas, and periodic senior leadership ... nested logical/IF formulas, data cleansing, array formulas, etc.) - Experience in fraud prevention and investigations - 2+ years of operating in a fraud … more
- First National Bank of Omaha (NE)
- …**EXPERIENCE AND BACKGROUND REQUIREMENTS** + Minimum 2 years previous Chargeback experience in Fraud and/or Non- Fraud Investigations is REQUIRED. + High ... at 1601 Dodge Street Omaha Nebraska 68197. As a Fraud and Non- Fraud Specialist at FNBO, you...and hold cardholders accountable if needed Conduct an in-depth investigation and attempt to identify a suspect Contact law… more
- Humana (Indianapolis, IN)
- …**Required Qualifications** + Bachelor's degree + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment ... 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, who will… more
- Guidehouse (Richardson, TX)
- …such as OFAC Sanctions, Anti-Money Laundering, KYC, CDD, EDD and/or Financial Fraud Investigations . + Understanding of the legal, corporate governance, and ... None **What You Will Do** **:** Guidehouse is seeking experienced Farud Investigations Analysts to conduct, identify and monitor financial crime risk and report… more
- US Bank (Columbus, OH)
- …are responsible for submitting Suspicious Activity Reports (SARSs) as it relates to fraud . Ensures team meets or exceeds production and quality goals. Partners with ... volume of applicants, such as customer service, contact center, and Financial Crimes investigations , remain open for approximately 5 days of the posting listed date. more
- Amazon (Arlington, VA)
- …Forensics & Fraud team. This team takes a holistic approach to evaluating fraud risk across the company through investigations and proactive fraud risk ... to lead investigations , audits and proactive advisory projects to address fraud , waste and abuse. The candidate will leverage advanced data-driven techniques for… more
- Sharp HealthCare (San Diego, CA)
- …criminal justice, finance, business or related field. + 5 Years in healthcare fraud investigation , preferably in a health plan, health insurance or managed ... Plan is a critical role responsible for overseeing the entire lifecycle of fraud , waste, and abuse (FWA) investigations . This position involves triaging… more
- Fallon Health (Worcester, MA)
- …the healthcare industry. **Experience:** + Advanced knowledge of FWA operations, fraud investigation and/or detection and analysis, and laws/regulations related ... clinical background. + Strong attention to detail with the ability to identify fraud , assess the impact, resolve investigations , mitigate risk, and capture… more
- RGP (New York, NY)
- …a highly skilled Senior Fraud Investigator Consultant to support our client's Fraud Investigations Team in addressing a backlog of complex cases. This role ... (e. . , CFE, CPA, CAMS) strongly preferred. + Experience in fraud investigations , forensic accounting, compliance, or related fields. + Demonstrated… more
- CVS Health (Olympia, WA)
- …trends and produce potential targets in local markets. *Cross trained in CVS.com fraud investigations . *Provides analytical support to Regional ORC Managers on ... evidence collection, developing and disseminating leads to investigators for further investigation . **Roles and Responsibilities** *Assist with investigations by… more
- MyFlorida (Miami, FL)
- …support for attorneys and investigators in Florida-specific and multistate health care fraud investigations and litigation matters. An employee in this position ... development of damages models for use in Florida-specific and multistate health care fraud investigations and litigation. Obtains and analyzes large amounts of… more
- Bank OZK (Clearwater, FL)
- …instances described within the Bank's Fraud Risk Management Program. + Performs fraud investigations derived from escalated fraud alerts and other ... as branch personnel or law enforcement. + Conducts moderately complex fraud investigations and link analysis that may include multiple subjects, incidents, and… more
- USAA (Plano, TX)
- …may be substituted in lieu of degree. + 8 years of risk management, fraud investigation or fraud prevention/detection experience in a financial services ... used to identify fraud trends. + Knowledge and understanding of fraud investigations as well as application of case law and state laws and regulation.… more
- State of Georgia (Fulton County, GA)
- …plan the financial and audit strategy for criminal and civil fraud investigations . + Participates in meetings throughout an investigation to discuss various ... Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot… more
- CVS Health (Tallahassee, FL)
- …and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). ... investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud . +… more
- Molina Healthcare (AZ)
- …**Required Experience** * Minimum of 8-10 years relevant experience in special investigation units, Insurance Fraud and Abuse, Payment Integrity Program, Law ... **Knowledge/Skills/Abilities** Acts as liaison between Special Investigations Unit (SIU) operations and contracted vendor(s) to assure a smooth workflow exists,… more
Related Job Searches:
Fraud,
Fraud Investigation Analyst,
Fraud Investigation Dispute Services,
Fraud Investigation Manager,
Fraud Investigation Services Associate,
Fraud Investigation Specialist,
Insurance Fraud Investigation,
Investigation,
Medicaid Fraud Investigation,
Medicare Fraud Investigation