• Investigative Auditor - Medicaid Fraud

    State of Georgia (Fulton County, GA)
    …claims and/or claims data. . Certification as a CPA or a CFE (Certified Fraud Examiner ). Additional Information: A criminal background check is completed on all ... claims and/or claims data. Certification as a CPA or a CFE (Certified Fraud Examiner ) is a plus. Additional Information + Agency Logo: + Requisition ID: LEG027K… more
    State of Georgia (10/30/24)
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  • Executive Director of Fraud Investigations

    ManTech (Coffeyville, KS)
    …required + Bachelor's degree in business or related field. + Active Certified Fraud Examiner (CFE) or equivalent certification + 10+ years of experience ... ManTech is seeking an Executive Director of Fraud Investigations to lead and manage the organization's...manage the organization's efforts in detecting, preventing, and investigating fraud . This role is responsible for overseeing the investigative… more
    ManTech (11/15/24)
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  • Fraud Analyst (Hybrid)

    Byline Bank (Chicago, IL)
    …communicate with colleagues and the BSA Officer regarding issues and findings. + Certified Fraud Examiner (CFE) designation is highly desired, and if not already ... a supportive, growth-oriented environment, let's connect to discuss this Fraud Analyst opportunity! **Objective of Position** : The ...Fraud Analyst opportunity! **Objective of Position** : The Fraud Analyst works with all Byline Staff in order… more
    Byline Bank (11/14/24)
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  • Fraud Waste and Abuse (FWA) Audit Manager

    Fallon Health (Worcester, MA)
    …+ Additional certification applicable to this work is a plus, such as Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or ... Director of Internal Audit in their leadership of the Fraud , Waste and Abuse (FWA) program. The FWA Manager...+ Assist in the development, implementation and manage strategic fraud , waste and abuse (FWA) activities by maintaining state… more
    Fallon Health (11/09/24)
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  • Healthcare Fraud Senior Manager, Special…

    CVS Health (Wellesley, MA)
    …Minimum 3+ years in a leadership role. + Relevant certifications (eg, Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) ... seeking a Sr. Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing and managing fraud detection,… more
    CVS Health (11/02/24)
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  • Director, Fraud /Loss & Incident Management

    NBC Universal (New York, NY)
    …experience working with remote teams, international experience a considerable plus. Certified Fraud Examiner certification. + Lean Six Sigma certification (eg ... reflects the current and ever-changing face of the world. Role Purpose: The Director, Fraud /Loss & Incident Management is responsible for overseeing the fraud &… more
    NBC Universal (10/23/24)
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  • Senior Payments Manager, Fraud and Disputes…

    McAfee, Inc. (San Jose, CA)
    …Sift, Kount, Verifi, Ethoca, Chargeback Gurus, etc.). * Relevant certifications (eg, Certified Fraud Examiner , Certified Risk Manager) are a plus * BA/BS/BBA ... **_Job Title:_** Senior Payments Manager, Fraud and Disputes - Remote **_Role Overview:_** The...Disputes - Remote **_Role Overview:_** The Senior Payments Manager, Fraud and Disputes with the Payments team truly is… more
    McAfee, Inc. (10/22/24)
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  • Fraud Investigator

    Bank OZK (Little Rock, AR)
    …required. + Certification in a relevant discipline (ie, Certified Fraud Examiner -CFE, Certified Financial Crimes Investigator-CFCI, Certified Anti-Money ... Job Purpose & Scope Responsible for performing fraud incident investigations and case management, including collaboration...loss to the Bank. Essential Job Functions + Performs fraud incident management for instances described within the Bank's… more
    Bank OZK (10/19/24)
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  • Analyst, Fraud Investigation

    CIBC (Chicago, IL)
    …Desired Skills** + Advanced Excel and Power Point Skills. + Experience completing fraud affidavits. + Certified Fraud Examiner or similar certifications ... more about CIBC, please visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **Responsibilities** The Fraud Analyst will report to the Fraud ...The Fraud Analyst will report to the Fraud Operations Manager of the Fraud Management… more
    CIBC (10/17/24)
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  • Director, Fraud Analytics

    Raymond James Financial, Inc. (St. Petersburg, FL)
    …education, and/or training. **Licenses/Certifications** * None required. * Certified Fraud Examiner (CFE), Certified Anti-Money Laundering Specialist (CAMS), ... direction with a high level of autonomy, lead the development of enterprise-wide fraud analytics capabilities. The Director, Fraud Analytics, will support the… more
    Raymond James Financial, Inc. (10/15/24)
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  • Senior Fraud , Waste, and Abuse Specialist…

    Sharp HealthCare (San Diego, CA)
    …Health Care Compliance Association (HCCA) -PREFERRED **Other Qualification Requirements** + Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud ... for the position, and employer business practices. **What You Will Do** The Senior Fraud , Waste and Abuse Specialist at Sharp Health Plan is a critical role… more
    Sharp HealthCare (10/02/24)
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  • Manager, Fraud Analytics

    Raymond James Financial, Inc. (St. Petersburg, FL)
    …education, and/or training. **Licenses/Certifications** * None required. * Certified Fraud Examiner (CFE), Certified Anti-Money Laundering Specialist (CAMS), ... **Job Summary** Under limited direction, support the development of enterprise-wide fraud analytics capabilities. The Manager, Fraud Analytics, will assist… more
    Raymond James Financial, Inc. (10/01/24)
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  • ORMP Risk Officer II - Fraud Risk…

    Truist (Charlotte, NC)
    …Business Degree (MBA, MS, MA, etc.) + Industry Certification such as Certified Fraud Examiner (CFE) + Experience in establishing new Corporate operational ... may change from time to time. + Design, establish and execute fraud risk management program and oversight framework that ensures appropriate identification,… more
    Truist (08/23/24)
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  • Senior Lead Analytics Consultant- Fraud

    Wells Fargo (Wilmington, DE)
    …to learn and assimilate information from multiple people and sources + Certified Fraud Examiner (CFE) **Job Expectations:** + This position is not eligible ... Fargo is seeking a Senior Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer...cause analysis in the ACH and on-us check victim fraud space + Consult and perform complex analyses involving… more
    Wells Fargo (11/14/24)
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  • Sr. Engagement Manager- Fraud

    RELX INC (New York, NY)
    …+ Have experience in fraud prevention and analysis, with CFE (Certified Fraud Examiner ) certification highly preferred. + Have PMP, Six Sigma, and Python ... of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You… more
    RELX INC (11/07/24)
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  • Healthcare Fraud , Financial Crime,…

    Guidehouse (New York, NY)
    …or enforcement agency. + Familiarity with case management tools. + Certified Fraud Examiner (CFE) or forensic accounting/financial investigations background. + ... **:** Guidehouse has an aggressive growth strategy for its Healthcare Fraud , Financial Crime, Compliance, and Investigative Services (FFI-Health) team. FFI-Health is… more
    Guidehouse (08/27/24)
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  • Healthcare Fraud Investigator - EVERNORTH

    The Cigna Group (Bloomfield, CT)
    …Word. + Accredited Health Care Fraud Investigator (AHFI) certification and Certified Fraud Examiner (CFE) preferred. If you will be working at home ... **POSITION SUMMARY** Join our Special Investigations Unit as a Fraud Investigator, supporting our US Commercial Healthcare Business, responsible for conducting and… more
    The Cigna Group (11/16/24)
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  • Fraud Field Investigator Senior

    M&T Bank (Amherst, NY)
    …and Experience Preferred:** + Criminal Justice or Management degree + Certified Fraud Examiner (CFE), Certified Anti-Money Laundering Specialist (CAMS) and/or ... **Overview:** Investigates multiple complex internal and external fraud cases within assigned region. Conducts interviews as...and disciplines to prevent, detect, and resolve theft and fraud at the branch level. Attend branch manager and… more
    M&T Bank (11/02/24)
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  • Financial Crimes and Fraud Technologist…

    Guidehouse (New York, NY)
    …with Medicare and Medicaid program rules and regulations. + Certified Fraud Examiner (CFE) or forensic accounting/financial investigations background. The ... Guidehouse continues to invest in its Financial Crimes and Fraud technology practice and is currently seeking candidates with...science. This role is to support its growth in fraud across both the public and commercial sectors, and… more
    Guidehouse (09/30/24)
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  • Lead Investigations Analyst

    Highmark Health (Columbus, OH)
    …+ Certified Public Accountant (CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified Information Systems Auditor (CISA) + ... resulting from evidence of employee malfeasance, including but not limited to, fraud , theft, privacy and security violations, or other violations of enterprise… more
    Highmark Health (10/08/24)
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