- DriveTime (Mesa, AZ)
- …ownership for our customers. **That's Nice, But What's the Job?** In short, as the Fraud Agent (Loan Review ), you will critically review customer documents, ... data, and investigation tools to assess potential fraud exposure and communicate with our Retail stores on...our money where our mouth is. + **Wellness Program.** Health is wealth! This program includes self-guided coaching and… more
- JPMorgan Chase (San Antonio, TX)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... solutions - all while ranking first in customer satisfaction. **Job Responsibilities** As a Fraud Specialist IV, you will: + Assist the Fraud Supervisor to… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …N/A Preferred: Health Care Anti- Fraud Associate (HCAFA), OR Accredited Health Care Fraud Investigator (AHFI), OR CFE - Certified Fraud ... codes, insurance terms and policy interpretations. Prefer knowledge of managed health care business model and processes **Other** Required: Excellent… more
- City and County of San Francisco (San Francisco, CA)
- …financial, nutritional and employment support to child and adult protective services, health care coverage, affordable childcare, and in-home services for older ... looks like in action. Under general supervision, this position conducts welfare fraud investigations and manages a criminal investigation caseload related to alleged… more
- AIG (Atlanta, GA)
- …Fraud work items. . Define key metrics and key performance indicators to track and review the TPAs against for Fraud and Recovery work items. . Take ownership ... customers to manage risk. Join us as a Claims Fraud Investigator to play your part in that transformation....starter. + Experience with Vendor and TPA management and review + A candidate who is comfortable handling large… more
- JPMorgan Chase (Chicago, IL)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... The Asset and Wealth Management Fraud Management team is the first line of...factor in leading you to success. **Job responsibilities:** + Review transactions submitted on all channels available for the… more
- JPMorgan Chase (Wilmington, DE)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... best-in-class. As an Area Product Owner within Consumer and Community Banking (CCB) Fraud Risk's Monetary Decisions, you will be accountable for the product roadmap,… more
- Ally (Harrisburg, PA)
- …risks * Manage team responsible for escalated investigations and related investigative review processes * Build fraud awareness, education, and referral/alert ... all important to them. Our focus is on the health and safety of our teammates as well as...opportunities be, too? **The Opportunity** Ally Financial' s Enterprise Fraud , Security and Investigations function manages and analyzes Ally's… more
- BECU (WA)
- …insurance coverage. Employees have access to disability and AD&D insurance. We also offer health care and dependent care flexible spending accounts, as well ... while maintaining a high standard of accuracy. + **Detect Fraud Patterns:** You'll review both monetary and non-monetary transactions to identify emerging … more
- Walmart (Bentonville, AR)
- Position Summary What you'll do The Manager, Operations - Fraud Operations provides senior leadership and stakeholders oversight in the operations for on-trip ... fraud . This role involves assisting in the execution and...operational processes including report/data pulls that require operational support/manual review . + Assist in tracking and reporting for on-trip… more
- New York State Civil Service (Syracuse, NY)
- …industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the position ... by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal… more
- State of Maine, Bureau of Human Resources (Machias, ME)
- … health , operates two state psychiatric hospitals, and provides oversight to health care providers. The Office for Family Independence (OFI) is responsible ... fraud and/or related crimes for prosecution and recovery of overpayments; * Review complaints of alleged public assistance fraud ; * Interview witnesses,… more
- Motion Recruitment Partners (New Castle, DE)
- …company. + Ensure all cases details are provided for accurate reporting. + Review detailed fraud detection information from various sources that provide suspect ... Fraud Analyst New Castle, DE **Onsite** Contract $23/hr...Benefits + Health Savings Account (HSA) + Health and Dependent Care Flexible Spending Accounts… more
- JPMorgan Chase (Columbus, OH)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... and manage pre-book strategies to prevent the first party fraud loss + Provide regular credit abuse updates to...to strategies in response + Perform large loss case review to identify strategy enhancement opportunity + Provide support… more
- Ally (Austin, TX)
- …dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. ... evolving, so shouldn't your opportunities be, too? **The Opportunity** The Fraud Early Warning Analyst position is responsible to assess various situations… more
- PNC (Pittsburgh, PA)
- …rigorous independent reviews of some of PNC's most important models including fraud models, anti-money laundering models, as well as various types of ... machine-learning models. Key Responsibilities: 1. Independent Model Review : Perform qualitative and quantitative assessments of all aspects of models including data… more
- City of New York (New York, NY)
- …found to be eligible can use coverage provided to access doctors, medication and other health care services at little or no cost. The Medical Assistance Program ... the three divisions keep pace with changes relating to health care reform and anticipated program growth...responsibility areas. - Identify areas of vulnerability for committing fraud , and program changes through the monthly statistics and… more
- MyFlorida (Tallahassee, FL)
- …waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 821762 Agency: Department of Health Working Title: MANAGEMENT REVIEW SPECIALIST -… more
- Health Advocates Network (Harrisburg, PA)
- … setting, behavioral health setting, drug and alcohol setting, managed care , quality management/utilization review or other related clinical experience; or ... Three years of professional experience with medical assistance (MA), health care services, or human services Minimum... care services, human services, long term care , utilization review , or knowledge of home… more
- State of Nevada (NV)
- …care to Medicaid eligible clients to validate and ensure adequacy of services and resident care . Review health care providers and fiscal agents to ... generated reports in order to identify abuse and potential fraud and to ensure claims were paid properly by...and review complex cases with lower level Health Care Coordinators. In addition to ongoing… more