• Equiliem (Orange, CA)
    …protocols to determine medical necessity. Screens requests for the Medical Director 's review, gathers pertinent medical information prior to submission to the ... Medical Director , follows up with the requester by communicating the...on an ongoing basis. Identifies potential quality issues and fraud /waste/abuse and reports timely to appropriate department. Stays up… more
    JobGet (09/10/24)
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  • Enterprise Fraud Program

    Ally (Harrisburg, PA)
    …so shouldn't your opportunities be, too? **The Opportunity** Ally Financial' s Enterprise Fraud , Security and Investigations function manages and analyzes Ally's ... and enhancement of the effective challenge of the Deposits Fraud program and serving as a strategy,...to meet Fraud Risk goals. * Represent Enterprise Fraud team on risk assessments and… more
    Ally (08/10/24)
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  • Director , Fraud Analytics

    Raymond James Financial, Inc. (St. Petersburg, FL)
    …SVP, Financial Crimes Analytics (FCA), the Director will regularly interact with Enterprise Fraud Risk Management and Technology teams during the design and ... a high level of autonomy, lead the development of enterprise -wide fraud analytics capabilities. The Director...procedures. * Concepts, principles, and best practices of agile project/ program management. * Internal and External fraud more
    Raymond James Financial, Inc. (07/17/24)
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  • Quantitative Analytics Director

    Wells Fargo (Minneapolis, MN)
    …is seeking a talented Model Risk Manager to lead model risk management for fraud models. This includes origination fraud , transaction and payment fraud , ... , call center fraud , and check transaction fraud for different business portfolios, eg, mortgage, consumer credit...reports to the Group Model Risk Officer within the Enterprise Model Risk Management of Wells Fargo. **In this… more
    Wells Fargo (09/12/24)
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  • Manager, Fraud Analytics

    Raymond James Financial, Inc. (St. Petersburg, FL)
    Director , Financial Crimes Analytics (FCA), the Manager will regularly interact with Enterprise Fraud Risk Management and Technology teams during the design ... vendor evaluations, implementations, and model optimization efforts. * Partner with Enterprise Fraud Risk Management, Cyber Threat Intelligence, and Raymond… more
    Raymond James Financial, Inc. (08/28/24)
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  • Sr. Manager, Fraud Strategy

    CIBC (Chicago, IL)
    …Gaps and meet US EXCO commitments. In addition the candidate will collaborate with the Enterprise Fraud function and LoBs within CIBC's US Region to maintain a ... about CIBC, please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) The Sr. Manager Fraud Strategy will report to the Sr. Director...of fraud identified as part of the fraud strategy program . + Manage third party… more
    CIBC (08/13/24)
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  • Senior Manager - Fraud Model Management

    USAA (Charlotte, NC)
    …highly analytical staff that provides decision support for business areas across the enterprise . By serving as a strategic partner to the business this function will ... US with occasional business travel. **The Opportunity** The **Senior Manager - Fraud Model Management** will work with other team members, model validators they… more
    USAA (09/06/24)
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  • Fraud Model Management Lead

    USAA (Colorado Springs, CO)
    …remotely in the continental US with occasional business travel. **The Opportunity** **The Fraud Model Management Lead** will be a senior team member, working with ... other staff and their Director to implement first-line model management activities on a...implement first-line model management activities on a portfolio of fraud and financial crimes models, while closely partnering with… more
    USAA (09/06/24)
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  • Director - Enterprise Optimization

    Edward Jones (St. Louis, MO)
    …with the ability to influence executive-level leaders. **What you'll do ** The Director of Enterprise Optimization role within Firm Planning and Strategic ... for our more than 7 million clients through regulation communication, fraud protection and managing their investment distributions. Protect their investments by… more
    Edward Jones (07/26/24)
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  • Security Director - Business Information…

    PNC (Strongsville, OH)
    …and have an opportunity to contribute to the company's success. As a Security Director - BISO within PNC's Technology organization, you will be based in Pittsburgh, ... and relationships with all stakeholders. **Job Description** + Leads the enterprise -wide investigative team in matters of alleged violations of laws and… more
    PNC (09/11/24)
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  • Senior Manager, Enterprise Anti-Bribery…

    Scotiabank (New York, NY)
    … Anti-Bribery & Anti-Corruption contributes to the overall success of Scotiabank's Enterprise Anti-Bribery & Anti-Corruption Program (" Enterprise ABAC ... & Anti-Corruption, in the ongoing development, maintenance, and enhancement of the Enterprise ABAC Program . Accountabilities of this role include, but are… more
    Scotiabank (09/07/24)
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  • System Director Compliance | Relocation…

    Sharp HealthCare (La Mesa, CA)
    …The System Director Compliance is an ambassador for the Compliance program and actively promotes an ethical culture through actions and communication. Working ... Vice President of Corporate Compliance for Sharp HealthCare (SHC), the System Director Compliance will lead the operational aspects of Sharp HealthCare's Compliance … more
    Sharp HealthCare (09/07/24)
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  • Executive Director of Reimbursement

    Billings Clinic (Billings, MT)
    …and enforcement of fraud and abuse issues related to the Hospital enterprise compliance program . * Supports and models behaviors consistent with Billings ... margin improvement program , focused on improving operating margins of all enterprise entities. * Responsible for the oversight and completion of the net revenue… more
    Billings Clinic (08/16/24)
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  • Director , Quality Improvement

    WelbeHealth (Brooklyn, NY)
    …compliance issues, corrective action plans, and the Fraud , Waste, and Abuse program + Collaborate with Executive Director and Medical Director during ... the Elderly (PACE). Under the direction of the Executive Director and in close collaboration with the Medical ...market QI Directors to monitor and standardize the QI program for WelbeHealth PACE programs across the enterprise more
    WelbeHealth (07/04/24)
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  • Director , Rap Apartments & Community Units

    City of New York (New York, NY)
    …JOS NM-II to function as one of two directors within the Rental Assistance Program . This director will manage the RAP Apartments Unit and Community Unit ... HPA on the Landlord Management System (LMS), a massive enterprise project managed by BPI and built by Deloitte...director will be responsible for ensuring the applicable program components are tested and staff adequately trained. -… more
    City of New York (07/18/24)
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  • Director , IT Cloud Architecture

    Lincoln Financial Group (Columbus, OH)
    …commitment to the migration of our applications into our cloud environments. As the director of Enterprise Cloud Architecture, you will be accountable for the ... of our cloud strategy and the architecture underpinning Lincoln's enterprise cloud platform. You will lead a team of...+ Free financial counseling, health coaching and employee assistance program + Tuition assistance program + A… more
    Lincoln Financial Group (09/04/24)
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  • Director -Data Science

    American Express (New York, NY)
    …is a challenge we gladly accept. Whether you're finding new ways to prevent identity fraud or enabling customers to start a new business, you can work with one of ... and Role Information** NLP/GenAI data science team seeks a Director of Data Science to focus on NLP (Natural...of the Global Decision Science organization within Credit and Fraud Risk at American Express. This critical team is… more
    American Express (09/12/24)
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  • Director , Operational Risk Management…

    American Express (New York, NY)
    …opportunity that includes working with cross functional stakeholders across the enterprise including several senior leaders. The Director , Operational Risk ... accept. Whether you're finding new ways to prevent identity fraud or enabling customers to start a new business,...driving execution of transformation of operational risk across the enterprise + Run initiatives within Program Management… more
    American Express (09/07/24)
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  • Senior Director , Direct to Consumer

    Revlon (New York, NY)
    …our consumers. We are Revlon, together, transforming beauty. **MAJOR DUTIES** The Sr Director of DTC, Elizabeth Arden, reports directly to the GM, Elizabeth Arden NA ... roll up your sleeves and execute rapidly. The Sr Director of DTC will combine an understanding of what...are identified and managed effectively. + Contribute to the enterprise integration initiatives with respect to the E-Commerce sites… more
    Revlon (07/25/24)
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  • Director , Bank Disputes Operation

    USAA (Phoenix, AZ)
    …a part of what makes us so special! **The Opportunity** As a dedicated Director , Bank Disputes Operation you will advise managers who lead teams responsible for ... performing business processes/plans, control testing, budgets and forecasts based upon enterprise and Disputes operational plan and vision. + Leads functional… more
    USAA (08/31/24)
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