- Ally (Raleigh, NC)
- …to translate business needs into technology solutions * Partners closely with the Director of Fraud Strategy to ensure Ally's technology roadmap evolves to ... years of experience in financial crime prevention required, with a background in operations , analytics, or claims management * In-depth knowledge of financial… more
- First Horizon Bank (Lafayette, LA)
- …for developing and implementing critical actions across fraud risk strategy, fraud prevention, fraud hotline, claims /disputes, and investigations which ... Lakes, FL., or Charolotte, NC. At First Horizon Bank Operations , we are on a mission to deliver a...the vision, strategy and implementation of all activities within Fraud Protection Services for First Horizon. The candidate must… more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4627371) Apply Medicaid Fraud Investigator ... Section is seeking an experienced investigator to join the Colorado Medicaid Fraud Control Unit ("COMFCU"). The COMFCU is crucial to preventing and holding… more
- Truist (Charlotte, NC)
- …on his/her ability to collaborate with operational leaders and drive for results. Fraud Operations Policy is responsible for working with our Enterprise ... Fraud Management Detection and Claims teams to...5. Special projects, research, analysis as assigned by the Fraud Deputy Director or the Head of… more
- AIG (Atlanta, GA)
- …agencies. The individual must have significant experience with Workers' Compensation as a Claims Manager/ Director (managing a team of Claims Professionals ... to include onsite competency evaluations as needed. + Partner with Contracts Director / Claims Legal to address any/all State Regulatory/Compliance issues. + Serve… more
- State of Massachusetts (Boston, MA)
- The Deputy Program Integrity Director is a policy, people and operational leader within the Program Integrity Unit of MassHealth. The Program Integrity Unit is a ... of MassHealth members. The team is led by the Director of Program Integrity, who reports to the Deputy... is responsible for leading MassHealth's efforts to control fraud , waste and abuse ("FWA") across the agency's programs.… more
- University of Washington (Seattle, WA)
- …of Bioengineering (https://bioe.uw.edu/) is looking for an outstanding leader as its Director . UW Bioengineering is a vibrant community driving advances in health ... reports to the Department Chair and Associate Dean of Administration and Operations and serves as the business manager/senior administrative and managerial support… more
- 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 ... of USAA and our members by conducting investigations of member claims , researching, analyzing, and processing dispute inquiries for financial transactions related… more
- Bausch Health (Bridgewater, NJ)
- …Commercial Data Science and Analytics will exist to help the Commercial Operations , Marketing and Sales organizations achieve their vision by unlocking value from ... data quicker and more effectively. The Director , Data Science will lead the execution of this...on key datasets (ie, external data sources such as claims , affiliations, etc. and internal data sources such as… more
- Burrell Behavioral Health (Springfield, MO)
- …investigations into suspect billing for Federal health care program overpayments. + Analyze claims data for potential fraud waste, and abuse patterns. + Prepare ... Job Description: Job Title: Director of Compliance Risk Management Location: Springfield, MODepartment:...and are governed by separate board of directors, their operations and services benefit from this model. Alone, organizations… more
- RELX INC (Annapolis, MD)
- Director of Data Content and Strategy About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Healthcare ... vertical, our solutions focus on transforming operations and improving health outcomes across the healthcare industry....and experienced professional to join our team as the Director of Data Content and Strategy. This critical role… more
- Bausch + Lomb (Bridgewater, NJ)
- …eye health in the future. We are seeking a highly skilled and experienced ** Director of Benefits** to lead our employee benefits program. Reporting directly to the ... Vice President, Total Rewards and HR Operations , the successful candidate will be responsible for developing,...+ Oversee the administration of US benefits programs, including claims resolution, billing, and reconciliation. + Develop and manage… more
- City and County of San Francisco (San Francisco, CA)
- …This work supports the Commission's overall effectiveness by periodically reviewing operations to identify ways to improve internal controls, standardize and ... and ethics laws and to promote efficient and effective operations within the Commission. The Audit Manager interacts with.... The Audit Division is also responsible for reviewing claims for public financing to ensure that City funds… more
- City of New York (New York, NY)
- …BOOKEEPER CIVIL SERVICE TITLE The Office of Child Support Services, Fiscal Operations which handles all fiscal related activities is responsible for ensuring that ... for ensuring the fiscal integrity of OCSE by preventing fraud throughout the collection and disbursement process. It prepares...for accuracy and completeness. Responsible for the examination of claims and vouchers as well as all valid … more
- Army National Guard Units (Colchester, VT)
- …administration, payments and financing, intellectual property, government furnished property, fraud and ethical considerations, changes, disputes and claims , ... which employees feel comfortable making such disclosures. Plans and Directs Operations . Provides senior level operational contracting support advice and assistance.… more
- FirstBank PR (Miami, FL)
- …special projects/investigation or any other matter as determined by BSA Manager and/or Operations Director Independence of Judgment : The degree of judgment is ... Unit Supervisor Job Summary : Responsible for all Bookkeeping/Deposit Operations requirements including formulating the proper procedures and guidelines to… more
- Lithia & Driveway (Killeen, TX)
- …II, Business Manager III, Accounting Manager, Area Controller, or Platform Director . Responsibilities + Responsible for their assigned store's accounting books and ... + Periodic review of controls and financial records for fraud prevention + Ensure that all accounts receivable monies...work. + Develops and maintains a positive relationship with Operations Leaders including assigned store General Manager (GM) in… more
- Baptist Memorial (Covington, TN)
- …available for each particular BSP patient scenario + Responsible for daily billing operations , such as submission of claims (electronic and paper), patient ... assistance for their prescriptions. The individual in this position supports the BSP Director , BSP Pharmacy Staff and Clinical Pharmacists to ensure that all duties… more