- JPMorgan Chase (Columbus, OH)
- …and collaborating across one of the world's most innovative financial organizations. As a Senior Product Associate in Claims and Disputes, you contribute to the ... knowledge of data analytics and data literacy + Direct experience in check fraud prevention and management + Proficient in using collaboration platforms such as… more
- AIG (Charlotte, NC)
- … Analyst will be responsible for reporting, analysis, and data management for GI Claims Fraud and Recovery (F&R). This position will work globally and cross ... for global reporting, analysis, and data management for GI Claims Fraud and Recovery + Deliver monthly...a reasonable accommodation, please send an email to ###@aig.com. Functional Area: OP - Operations AIG Claims ,… more
- Capital One (Chesapeake, VA)
- Work From Home Bilingual (Spanish) Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience ... working virtually at home? Then a Capital One Customer Operations role may be the role for you! To...with a solid attendance record **Learn about the role** Senior Fraud Recovery Coordinators at Capital One… more
- DXC Technology (Nashville, TN)
- …of technology to deliver essential IT services that help clients modernize operations and drive innovation across their entire IT infrastructure. Our services span ... Within **DXC Insurance Services** , we help clients optimize and transform operations , reduce costs, automate complex business processes, and build agile channels… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will… more
- Citigroup (Jacksonville, FL)
- …and development of advanced statistical models + Proven experience in the Investigation and Fraud claims process + Experience in trend analysis and alerts in ... The Fraud Ops Sr Analyst is a senior...Family Group:** Operations - Services **Job Family:** Fraud Operations **Time Type:** Full time **Primary… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and ... abusive practices. The Senior Fraud and Waste Professional work assignments...CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in… more
- Bank of America (Chicago, IL)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/ Fraud -Analytics-and-Innovation-Lead-Analyst Fraud -Strategy\_25042825-2) **Job Description:** At Bank of… more
- State of Minnesota (St. Paul, MN)
- …to detect fraud , abuse, over-utilization, and error in health care claims . AND Experience must demonstrate the following: + Develop criteria and parameters used ... **Working Title: Senior Investigator** **Job Class: Human Services Program Representative...of MN DHS Licensed providers + An understanding of claims processing operations , edits, and CPT coding… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …across a complex matrix environment that includes areas in marketing, sales, sales operations , senior leadership among others. This position is based in ... products for the maintenance of everyday health. As a Senior Manager, Brand Analytics, you will be part of...+ Work with cross functional teams (such as sales operations and forecasting) to communicate brand strategy and insights… more
- Otsuka America Pharmaceutical Inc. (Waltham, MA)
- **Job Summary** The Senior Director will serve as the Translational Medicine CNS Therapeutic Area Head, reporting to the VP, Translational Medicine and Early ... Clinical Development within OPDC's Early Development Organization (EDO). The Senior Director Translational Medicine will oversee a small team of CNS Translational… more
- Elevance Health (Atlanta, GA)
- …and medical policy guidelines strongly preferred + BA/BS preferred + Medical claims review with prior health care fraud audit/investigation experience preferred ... **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit**...and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review.… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Description** The Senior Manager, R&D Strategic Sourcing Clinical Execution is part of a global team which collaborates with R&D category leaders and business ... of category strategy development, contributing advanced strategic industry insight. The Senior Manager role will build an understanding of Otsuka's global,… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- The Senior Director, Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the assigned ... and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Medical Information Content Generation:** + Oversee the… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** The Senior Director, Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership** + Act as a thought leader… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …the Senior Manager of Process, Policy & Governance reporting to the Senior Director, Procurement Operations ; your primary focus will be the maintenance and ... enhancement of Otsuka's Procurement operations , processes and policies in support of Otsuka's North America portfolios. This role will have responsibility for… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Senior Director, Privacy Officer serves as the enterprise leader responsible for developing, implementing, and overseeing the company's privacy and data ... business functions-including clinical research, pharmacovigilance, employee data, and commercial operations -complies with applicable laws, regulations, and ethical standards. The… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- The Senior Manager, External Engagement Strategic Planning will play a critical role in shaping and executing strategic initiatives that enhance the impact of ... **Cross-Functional Collaboration** + Work close with Medical Excellence and Operations team to facilitate cross-functional workshops and planning sessions to… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- **_Sr. Director, Brand Lead, Neuroscience_** **Position Summary** The Senior Director, Brand Lead, Neuroscience is responsible for leading the commercial strategy, ... the commercial go-to market model and overall cross-functional launch plan. The Senior Director will lead a cross-functional team, working closely with market… more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- **Job Summary** The Senior Manager of Global Quality Management (GQM) supports the execution of clinical quality activities to ensure compliance with Good Clinical ... issues, protocol deviations, and potential noncompliance. + Collaborate with Clinical Operations , Regulatory Affairs, and Medical Affairs to embed quality practices… more
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