- 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
- 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 (IA)
- …**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
- Amazon (Arlington, VA)
- …hiring a Senior Risk Manager for the product team within the Vendor Investigations & Transaction Accuracy (VITA) organization to accelerate some of our top ... initiatives in our anti- fraud product suite. You... product suite. You will support the development of fraud detection and prevention prototypes across Non-Inventory, Transportation, Retail,… more
- New York State Civil Service (New York, NY)
- …Attorney General, Office of the Title Legal Support Analyst: Support Medicaid Fraud Investigations (6348) Occupational Category Legal Salary Grade NS Bargaining ... detectives, data analysts, and nurses to conduct complex, long-term healthcare fraud investigations . The position is suitable for both recent college graduates… more
- New York State Civil Service (New York, NY)
- …Attorney General, Office of the Title Lateral Attorney: Lead Complex Civil Fraud Investigations (3723) Occupational Category Legal Salary Grade NS Bargaining Unit ... Unit's New York City office. The selected attorneys will lead complex civil fraud investigations in the healthcare industry, as well as litigate such matters in… 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
- Conduent (San Antonio, TX)
- …be part of a culture where individuality is noticed and valued every day. ** Fraud Investigation Services Associate III** **Onsite - San Antonio, TX** **$21.00 ... per hour** As a ** Fraud Investigation Services Associate III,** you will...III, you will be responsible for: + Conducting thorough investigations into suspected fraudulent activities by analyzing financial records,… more
- CIBC (Chicago, IL)
- …learn more about CIBC, please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **Responsibilities** The Fraud Analyst will report to the Fraud Operations ... of the Fraud Management US Region. The Fraud Analyst is responsible for completing moderate to complex...of account activity to assess levels of risk and fraud type, making a fraud determination, and… 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
- Capital One (Richmond, VA)
- …suspicious activity investigations , reporting, enhanced due diligence, or other AML Fraud processes. Our ideal candidate would possess fraud and ... Network (FinCEN) + Escalate issues as appropriate for advanced investigation and analysis + Build and maintain awareness of...least 6 months of experience in Anti-Money Laundering (AML), Fraud , Investigations or an Analyst role +… more
- Capital One (New York, NY)
- …closely with the Law Enforcement Community, Industry Peers and internally with the Investigations team, Management, Internal Fraud Production Teams and the Legal ... for this position will bring with them a working knowledge of Fraud Processes, investigation experience, corporate initiative, experience working with Law… more
- Bank OZK (Little Rock, AR)
- …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
- 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
- CGI Technologies and Solutions, Inc. (Charleston, SC)
- ** Fraud Associate Level II - 2nd Shift** **Category:** Administration **Main location:** United States, South Carolina, Charleston **Position ID:** J0624-0432 ... and responsibilities:** Future duties and responsibilities With oversight from the Government Fraud Program Manager (FPM), the Fraud Associate Level II performs… more
- CVS Health (Columbus, OH)
- …innovation within the team. **Required Qualifications** + 7-10 years of experience in fraud Investigations within the healthcare sector. + Strong analytical and ... waste and abuse. This role involves not only directing fraud detection and investigation activities but also...and productive work environment. + Direct and oversee all fraud detection activities and investigations , ensuring alignment… more
- DISH Network (Bluefield, WV)
- … fraud -related issues, including data analysis, rule optimization, and fraud investigation techniques **Skills, Experience and Requirements** **Education and ... of your functions include device fraud prevention efforts by evaluating fraud prevention rules, conducting investigations , and providing insights to enhance… more
- CVS Health (Hartford, CT)
- …high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those ... federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and...or equivalent experience (3-5 years of working health care fraud , waste and abuse investigations ). **Pay Range**… more
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