- Wells Fargo (San Antonio, TX)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Associate Manager in the Claims Assistance Center (CAC) - Credit Card Phones, ... customer experience + Manage allocation of people and financial resources for Fraud and Claims Operations + Mentor and guide talent development of direct… more
- UMB Bank (Kansas City, MO)
- …and First Data fraud case management tools. + Experience with back office operations dealing with fraud claims governed under VISA charge-back rules, ACH ... This position will report directly to the Manager, Enterprise Fraud Claims , supporting UMB's protection against multi-channel...needs and the expectations of the Director of Enterprise Fraud Operations . Works closely with the Enterprise… 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 of ... working virtually at home? Then a Capital One Customer Operations role may be the role for you! To...a solid attendance record **Learn about the role** Senior Fraud Recovery Coordinators at Capital One are tasked with… more
- NJM Insurance (NJ)
- …being a key component in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims Specialists are supported by a ... NJM's WC Claims Department is seeking an experienced Claims...and accurate benefits + Evaluate the claim for potential fraud indicators and escalate the claim to SIU, as… more
- Thrivent Financial (Appleton, WI)
- …examinations as determined by the Claims Consultant. + Provide consultation to Associate Claims Examiners in helping to answer questions and make decisions ... This position is responsible for examining routine and non-routine claims for one or more products and multiple series of contracts by evaluating the extent of… more
- UMB Bank (Kansas City, MO)
- …training to provide extensive UMB and financial knowledge, the Fraud Enterprise Operations team consists of 3 teams; Prevention, Claims and Data Strategy ... clients and internal partners to escalate, investigate, and resolve fraud claims multi payments channels and mitigate...with their manager to develop roadmaps for opportunity within Fraud Operations and beyond. **_How you'll spend… more
- PenFed Credit Union (Alexandria, VA)
- … Specialist will be to complete all the necessary forms and paperwork involving fraud claims /notifications and work fraud alerts requiring research. Duties ... alerts as needed. + Analyze and validate Identity Theft claims and other fraud claims ...Suite. + Basic knowledge of banking or credit union operations preferred. + Basic knowledge of fraud … more
- Humana (Oklahoma City, OK)
- …into allegations of fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud ... help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of… more
- Otsuka America Pharmaceutical Inc. (Columbia, SC)
- **Job Summary** The Associate Director, Quality Operations will lead initiatives that drive operational excellence, enhance risk management practices, and ... global quality organization. This role is instrumental in ensuring that quality operations are efficient, compliant, and aligned with strategic business goals. **Job… more
- Otsuka America Pharmaceutical Inc. (Pierre, SD)
- The Associate Director, Strategic Planning & Operations will support the assets of varying lifecycle stages in the relevant therapeutic area portfolio. This role ... Lead, who in turn reports into the Medical Excellence & Operations Lead. **Job Description** **Key Responsibilities Include:** **Strategic Planning & Execution**… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Summary:** The Global Integrated Evidence Operations , Associate Director role oversees and coordinates the operational processes, digital system support, and ... crucial role in enhancing the efficiency and effectiveness of general department operations to support timely and transparent delivery of high impact evidence.… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …you will be responsible for the prospective and retrospective investigation of suspect claims and assisting in initial development of fraud , waste, abuse and ... fields of study * Knowledge of health care nomenclature and coding, programs, services, claims and fraud , waste and abuse schemes. Compensation and Benefits: Pay… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …needs and nutraceutical products for the maintenance of everyday health. As the Associate Director of Commercial Data Science, you will play a pivotal role in ... foundational commercial data and analytic strategy for emerging assets. The Associate Director will work closely with cross-functional teams, including Marketing,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** The Associate Director of Brand Analytics role is a position designed to support the analytic needs of the assigned Brand Teams. This individual will ... focus for Otsuka. **Job Description** The primary responsibilities of this role, Associate Director, Brand Analytics are to: + Function as a proactive, consultative… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- ** Associate Director, Field Strategy, Nephrology/Immunology** **Position overview:** The ** Associate Director, Field Strategy** plays a critical role in enabling ... and execution through standardized dashboards. + Partner with Commercial Operations to **streamline reporting processes** and provide clear, actionable insights… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job Summary** The Associate Director, R&D HCP Engagement CoE is a critical change agent and system implementer responsible for designing the operating model and ... HCP engagement over time. This position reports into the Medical Excellence & Operations Vendor and Contracts Management Lead and directly manages the Manager, HCP… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Associate Director of Global Supplier Quality will be responsible for the execution of supplier quality audit and monitoring across the company's global network ... + Collaborate with Procurement, Manufacturing, Regulatory Affairs, and Technical Operations to ensure supplier quality is integrated into business processes.… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- **Job Summary** The Associate Director, Global Product Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at CMOs ... and release process for OAPI GMP release of Contract Manufacturers operations supporting clinical and commercial products. + Interfaces with Contract… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... Media, Market Research, Analytics, Otsuka Information Technology (OIT), Sales Operations , and Medical/Regulatory/Legal integrated business partners. **Minimum Qualification:** +… more
- Capital One (Mclean, VA)
- …serve our customers. We utilize machine learning and AI to streamline processes in fraud detection, claims processing, and quality control. You will be the ... Principal Associate , Data Science **Principal Associate , Data...in their financial lives.** **Team Description** **The Retail Bank Operations team is at the forefront of leveraging cutting-edge… more