- CVS Health (New York, NY)
- …Unit is seeking a Sr. Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing and managing ... ensuring compliance with regulatory requirements. The Senior Manager develops strategies to mitigate fraud risks,...Management:** + Direct and oversee complex investigations into suspected healthcare fraud , waste, and abuse. + Ensure… more
- US Bank (New York, NY)
- …business processes and ensure a successful transformation. The Corporate Audit Services Senior Audit Project Manager is primarily responsible for supervising ... with minimal supervision from managers, however there are no direct reports. The Senior Audit Project Manager is expected to monitor progress of audit… more
- Elevance Health (New York, NY)
- …independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client ... **Investigator Senior ** **Supports the Payment Integrity line of business**...+ Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than… more
- Quantexa (New York, NY)
- …challenges across data management, KYC, customer intelligence, financial crime, risk, fraud , and security throughout the customer lifecycle. The Quantexa platform ... to join the Financial Crime team as a Solutions Manager for Quantexa's Financial Services and Government solutions within...+ Additional domain expertise and experience in KYC and fraud is a plus. Your day-to-day role will be:… more
- City of New York (New York, NY)
- …Serve as the Bureau's lead on all matters regarding response to provider noncompliance, fraud and poor performance; Serve as a senior member of Bureau ... Description OPEN TO CANDIDATES WHO ARE PERMANENT IN THE HEALTH SERVICES MANAGER CIVIL SERVICE TITLE AND OTHER COMPARABLE CIVIL SERVICE TITLES INCLUDING,… more
- Elevance Health (Woodbridge, NJ)
- …for the identification, investigation, and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... pharmacy claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan,… more