- Zelis (FL)
- Overview: The Fraud Analyst will report to the Manager of the Fraud Team, under the Payee Identification and Network Security (PINS) department. The PINS ... to account takeover, business identification, bank account validation, and more. The Fraud Analyst conducts all aspects of investigations into suspicious… more
- US Bank (Charlotte, NC)
- …**SQL or SAS experience.** + _This position is not eligible for visa sponsorship._ The Fraud Risk Analyst role focuses on fraud mitigation on a transactional ... The role is responsible for managing, monitoring, and addressing fraud risk management projects on Prepaid cards and Corporate...rules to provide the best customer experience available. The analyst will use SAS and other internal tools to… more
- US Bank (Charlotte, NC)
- …EFCC and manually created alerts from internal and external referral sources. The Fraud Analyst will be responsible for reviewing risk-based alerts which have ... fraud , terrorist financing, structuring, any other financial risk.The Fraud Analyst determines if activity is reasonable...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: Retail Fraud /Security Analyst (Asset Protection/Safety) Location: United States-Virginia-Virginia Beach Job Number: 240000JD Navy Exchange Service Command ... for our military service family members. A few of our benefits include: ⭐ Federal Healthcare ⭐ Dental, Vision, 401(k) & Pension Plan ⭐ Accrual of paid time off (PTO)… more
- Liberty Healthcare Corporation (Terre Haute, IN)
- Liberty Healthcare helps ensure people who are living with intellectual and developmental disabilities receive high quality home and community based services - so ... Liberty is now hiring for a full-time Incident Review Analyst position. This role focuses on processing a high...high volume of reports pertaining to suspected abuse, neglect, fraud , exploitation, injury, death, and adverse events involving people… more
- Molina Healthcare (Los Angeles, CA)
- …standards and requirements contained in the Molina Medical Compliance and Fraud , Waste and Abuse Program. **KNOWLEDGE/SKILLS/ABILITIES** + Coordinates, conducts, and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- CACI International (Washington, DC)
- Legal Support Analyst 1 (Entry Level Legal Support) Job Category: Service Contract Act Time Type: Full time Minimum Clearance Required to Start: DOJ MBI Employee ... resources to add to your skillset. The Document Management Analyst (DMA) role works closely with the Department of...works closely with the Department of Justice, Health Care Fraud Division attorneys in a fast-paced setting and assist… more
- CACI International (Boston, MA)
- Legal Analyst Job Category: Service Contract Act Time Type: Full time Minimum Clearance Required to Start: DOJ MBI Employee Type: Regular Percentage of Travel ... Local * * * **The Opportunity:** + The Legal Analyst will support the work of Assistant US Attorneys...supports the investigations of the Securities, Financial, and Cyber Fraud Unit. + The Unit investigates and prosecutes complex… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role We are seeking a passionate, results-oriented Sr. Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan ... + Minimum 5 years of experience as a business analyst in healthcare payer in onboarding new...level. *We are an Equal Opportunity Employer JOB ALERT FRAUD : We have become aware of scams from individuals,… more
- MD Anderson Cancer Center (Houston, TX)
- …or billing compliance, healthcare administration and/or general business as an analyst , auditor or fraud investigator. With preferred degree, two years of ... ideal candidate will have research laboratory experience.** The institutional compliance analyst will serve as a research integrity education specialist and will… more
- Robert Half (OH)
- JOB REQUISITION Americas Delivery Center Analyst - Financial Crimes Compliance LOCATION AMERICAS DELIVERY CENTER ADDITIONAL LOCATION(S) JOB DESCRIPTION You Belong ... Where We Need You Protiviti 's Americas Delivery Center is seeking an Analyst to join our financial crimes compliance competency . Embracing Protiviti's vision of… more
- Experian (Costa Mesa, CA)
- …around the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create marketing solutions, and gain deeper insights ... We operate across a range of markets, from financial services to healthcare , automotive, agribusiness, insurance, and many more industry segments. We invest in… more
- Catholic Health Services (Melville, NY)
- …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... Details Position Summary: The Systems Analyst role involves working independently to support the development...Support the information security awareness program, report any suspected fraud , abuse, or policy violations, and follow all information… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan ... product. The ideal candidate will have worked in-depth in healthcare payer domain in Multi-employer Trust (Hours & Eligibility...level. *We are an Equal Opportunity Employer JOB ALERT FRAUD : We have become aware of scams from individuals,… more
- US Bank (Fargo, ND)
- …skills and discover what you excel at-all from Day One. **Job Description** The Project Analyst will work with fraud and dispute case processing, serving as a ... metrics such as absenteeism, headcount and attrition. Additionally, the Project Analyst will be responsible for developing innovative monitoring strategies to… more
- The MITRE Corporation (Austin, TX)
- …government create lasting impact in fields as diverse as cybersecurity, healthcare , aviation, defense, and enterprise transformation. We're making a difference every ... Summary: This is an opportunity for a creative Operations Research Analyst , Statistician, or Data Scientist to join MITRE's Operations Research department.… more
- University of Miami (Medley, FL)
- …. The HIM Identity Team is seeking a Data Integrity Analyst that evaluates the authenticity of data within the electronic medical ... practices that ensure data quality by minimizing errors and opportunity for fraud , allowing patients access to correct data, and implementing corrective and… more
- Publicis Groupe (New York, NY)
- …servicing a global network of prestigious advertising, public relations, media, healthcare and digital marketing agencies. We provide technology solutions and ... and accurate processing. + Monitor virtual card transactions for security, fraud prevention, and compliance with regulatory standards. + Provide expert support… more
- University of Rochester (Rochester, NY)
- …provides presentations to educate and train faculty, residents and staff on reimbursement, fraud and abuse and other healthcare related compliance issues and ... + 5 years' experience in a direct or indirect healthcare compliance or privacy role in an integrated health...or Certified Professional Compliance Officer and/or CHC Certification in Healthcare Compliance (CHC) or as a Certified Compliance and… more
- General Dynamics Information Technology (Fairfax, VA)
- …actions to CMS; and recommend referrals to law enforcement if potential fraud and abuse is identified.** **Summary:** **Develops and applies quality standards in ... NEED TO SUCCEED:** **Education** **: Bachelor's degree or equivalency in healthcare field that includes 2-4 years' ACA and/or Medicaid-Medicare experience**… more
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