- Humana (Indianapolis, IN)
- **Become a 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, ... to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues +...Bachelor's degree + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge… more
- Amazon (Arlington, VA)
- …concise and persuasive narrative creation that documents complex fraud investigations , new program ideas, and periodic senior leadership updates *Understand ... You will own month-end goal reporting, cross-organization stakeholder management, work with internal fraud operations teams on best practices, identify training… more
- Sharp HealthCare (San Diego, CA)
- …other requirements for the position, and employer business practices. **What You Will Do** The Senior Fraud , Waste and Abuse Specialist at Sharp Health Plan is a ... critical role responsible for overseeing the entire lifecycle of fraud , waste, and abuse (FWA) investigations . This position involves triaging allegations,… more
- Amazon (Arlington, VA)
- … and proactive fraud risk management. We are looking for an Internal Audit Manager to lead investigations , audits and proactive advisory projects to ... Internal Audit manager to support the Forensics & Fraud team. This team takes a holistic approach to...candidate will develop and implement processes and protocols across investigations and fraud risk management projects to… more
- Amazon (Arlington, VA)
- …Pillar within Fraud Prevention. The Special Service Pillar includes a Fraud Investigations , Intelligence and Disruptions Team, an Audit and Escalations Team, ... Description We are seeking a Senior Security Engineer to join the AWS Fraud Prevention team. The mission of AWS Fraud Prevention is to protect AWS and its… more
- RGP (New York, NY)
- RGP Financial Services team is seeking a highly skilled Senior Fraud Investigator Consultant to support our client's Fraud Investigations Team in ... (e. . , CFE, CPA, CAMS) strongly preferred. + Experience in fraud investigations , forensic accounting, compliance, or related fields. + Demonstrated… more
- Robert Half (Chicago, IL)
- …You: Protiviti is looking for a Fraud Risk Management / Forensic Accounting Senior Manager to join our growing Internal Audit & Financial Advisory team. This ... JOB REQUISITION Chicago Fraud Risk Management & Forensic Accounting- Senior...success in anti-bribery and anti-corruption compliance assessments and audits, fraud investigations , and fraud risk… more
- CVS Health (Tallahassee, FL)
- …affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex … more
- NBT Bank (Lakeville, CT)
- Pay Range: $27.48 - $36.65 The Senior Fraud /AML Investigator will work fraud and money laundering cases as assigned by the BSA Officer and Security Officer ... that can occur in a banking environment, including deposit fraud . internal fraud . card ...Court. + Must have the ability to work multiple inquiries/ investigations simultaneously Tasks Performed: + 60% Complete case … more
- Sallie Mae (Newark, DE)
- …for future generations, for the future of education. **What You'll Contribute** The Senior Manager, Fraud Risk Management will be responsible for developing and ... Regularly prepare and present data-driven reports for leadership on the state of Fraud Risk. + Foster strong relationships with internal stakeholders, including… more
- Citizens (Pittsburgh, PA)
- …on customer satisfaction. Required Skills and Qualifications + 1 year of Fraud investigations experience. + Strong organized, technical, and analytical skills. ... Description As a Fraud Detection Sr. Specialist, you'll play a pivotal...within required timeframes, as determined by regulatory guidelines and internal requirements. The best course of action for compromised… more
- Charles Schwab (Lone Tree, CO)
- …regulations. **What you will do:** The Manager will report to the SVI Investigations Senior Team Manager (PL) and responsibilities include (but are not ... **Your opportunity** Located within the Fraud Risk Management section of Financial Crimes Risk...section of Financial Crimes Risk Management, the purpose of Senior and Vulnerable Investor (SVI) Investigations is… more
- Fallon Health (Worcester, MA)
- …**Primary Job Responsibilities:** + This position supports the Senior Director of Internal Audit in their leadership of the Fraud , Waste and Abuse (FWA) ... summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret...Strong attention to detail with the ability to identify fraud , assess the impact, resolve investigations , mitigate… more
- Needham Bank (Wellesley, MA)
- …for maintaining MIS for internal department use, as well as reporting to senior management and other departments. + Serve in a QC function for various BSA ... internal department use, as well as reporting to senior management and other departments. + Provides guidance and...Knowledge of applicable banking laws and procedures relevant to fraud mitigation and investigations . + Strong and… more
- The Cigna Group (Jefferson City, MO)
- …regarding the investigation * Prepare reports to expedite tracking and reporting of investigations * Prepare evidence package referrals to internal and external ... responsible for the development, investigation, and presentation of complex fraud and/or abuse cases. Using analytical skills, in-depth drug...management experience in lieu of degree * 1+ years Fraud or Pharmacy experience If you will be working… more
- Amazon (Tempe, AZ)
- …team Our team is comprised of experts in the risk domains like fraud , cybersecurity, data security, internal risk, threat intelligence, regulatory compliance, ... to senior leadership - Experience establishing successful partnerships with internal and external teams to execute tactical initiatives or equivalent and… more
- Citigroup (Wilmington, DE)
- … Senior Vice President to support Oversight of US Personal Banking Retail Payments & Internal Fraud Risk across the Enterprise. This role is part of the 2LOD ... effective fraud processes and monitoring across Retail Payments, Branch Network, and Internal Fraud Risks. + Lead risk assessments and reviews of business… more
- Truist (Charlotte, NC)
- … management practices, and the operational execution of claims handling, alerts management, and investigations of fraud and suspect fraud events, all with ... for the overall planning, administration, coordination and general management of Fraud and Transaction Services functions. Leads the oversight and end-to-end… more
- Amazon (Seattle, WA)
- …and strategic Program Manager to lead our global initiatives in combating gift card fraud and abuse. In this role, you will be responsible for developing and ... comprehensive programs aimed at mitigating risks associated with gift card fraud , protecting our customers, and safeguarding our business interests worldwide. Key… more
- Bank of America (Tampa, FL)
- …write ups on high dollar defect accounts + Document and evaluate existing/new fraud policies Understand internal systems and processes to understand how they ... Fraud Analytics and Innovation Leader - Check &...cross-functional initiatives in partnership with Operations, Risk Management, Analytics, Investigations , and other partners within the bank to implement… more