- CVS Health (Woonsocket, RI)
- …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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … Investigation and Prevention (FIP) Unit including management of a team of senior managers, data analysts, fraud investigators, certified coders and medical ... Ready to help us transform healthcare ? Bring your true colors to blue. Blue...abuse activity in FIP, work with the Pharmacy Benefit Manager on fraud waste and abuse work,… more
- DoorDash (Sunnyvale, CA)
- …and collaborate well with multi-disciplinary teams. You will report into the engineering manager on our Fraud Machine Learning team in our Operation Excellence ... About the Team The Fraud Machine Learning team builds cutting edge models...Machine Learning expert to join our team. As a Senior Machine Learning Engineer, you'll be conceptualizing, designing, implementing,… more
- US Bank (Irving, TX)
- …new skills and discover what you excel at-all from Day One. **Job Description** The Fraud Risk Manager position works as a manager of individual contributors ... lead a team of data analysts specializing in identity fraud detection with a focus on developing rules and...influence at all levels of the organization, including with senior leadership - SAS, SQL, R or Python experience… more
- CVS Health (Phoenix, AZ)
- …RxClaim and RxNavigator, Medical vocabulary and drug knowledge. PTCB certified. Healthcare fraud certification. **Education** High School Diploma Bachelors ... on activities; and respond to MEDIC requests. The Sr Analyst may also assist Manager and Snr Manager to effectively develop, implement and manage FWA product… more
- Insight Global (Windsor Mill, MD)
- Job Description Insight Global is looking for a Senior Healthcare Claims Data Scientist to lead their team. The role involves performing scientific work that ... team or task leader, though not as a people manager . They will design, research, and develop highly advanced...years of experience 7+ years of experience datamining for healthcare fraud , waste, and abuse in large,… more
- Centene Corporation (Raleigh, NC)
- …on workplace flexibility. **Position Purpose:** Develop, implement and manage strategic fraud , waste and abuse (FWA) activities by maintaining state and federal ... in billing and claims payment + Serve as a lead and investigate all possible fraud , waste and abuse referrals + Develop customized fraud plans to meet contract… more
- Proofpoint (Sacramento, CA)
- …leader in next-generation cybersecurity. Protection Starts with People. **The Role** As a Senior Product Manager within Proofpoint, you are the ultimate owner of ... market positioning, and customer evangelization. Our team seeks a Senior Product Manager with a passion for...across the company, to advance our industry-leading product: Email Fraud Defense (EFD), a high visibility/high growth product (with… more
- RELX INC (Philadelphia, PA)
- Senior Manager , Strategy Do you have exceptional consulting, analytical, and communication skills? Would you like to drive growth for an organization with a ... helps prepare health professionals for a successful career in healthcare . We provide world-class content, innovative learning tools and...that deliver successful results. About the Role As Strategy Senior Manager , you will support the annual… more
- Bausch Health (Bridgewater, NJ)
- …health care products. Bausch Health has an exciting opportunity for an Investor Relations Manager to join our dynamic team! As a Manager in Investor Relations, ... the office. **Responsibilities:** + Partner with the CEO, CFO and other senior leaders to manage the Company's participation on quarterly earnings calls, investment… more
- US Bank (Minneapolis, MN)
- …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
- Experian (Costa Mesa, CA)
- …around the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create marketing solutions, and gain deeper insights ... We operate across a range of markets, from financial services to healthcare , automotive, agribusiness, insurance, and many more industry segments. We invest in… more
- Experian (Costa Mesa, CA)
- …businesses worldwide. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create marketing solutions, and gain deeper insights ... Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com As a Senior Product Manager at ECS, you will help lead the development of… more
- MyFlorida (Tallahassee, FL)
- 68039491 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST Date: Oct 18, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 832402 Agency: Agency for Health Care Administration Working Title: 68039491 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST Pay Plan: Career Service Position Number:… more
- Bausch Health (Carlsbad, CA)
- …it-where your skills and values drive our collective progress and impact. The Senior Account Specialist (SAS) is an opportunity to support Solta's family of ... communication. Ability to present clinical and technical information to healthcare providers and large groups. + The ability to...one. Please ensure you have discussed with your current manager the intent of applying to a new role.… more
- Elevance Health (Houston, TX)
- **Clinical Provider Auditor Senior ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of ... and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**...next step in the claim's lifecycle. + Research new healthcare related questions as necessary to aid in investigations… more
- Elevance Health (Norfolk, VA)
- …independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client ... **Investigator Senior ** **Location:** This position will work a hybrid...+ Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than… more
- Experian (Costa Mesa, CA)
- …also with web and backend teams! You will report to the Software Development Senior Manager . You'll have the opportunity to: + Manage end-to-end responsibility ... around the world. We help to redefine lending practices, uncover and prevent fraud , simplify healthcare , create marketing solutions, and gain deeper insights… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary** The Senior Auditor leads the planning and executing of various financial, operational and compliance audits, including but not ... workpapers. + Communicates the progress of audits to the Manager /Director on a timely basis. Based on changes or...is included in the US Retail Pharmacy and US Healthcare segments of Walgreens Boots Alliance, Inc. (Nasdaq WBA),… more
- Ohio University (Athens, OH)
- Job Description: The Senior Auditor position supports the Chief Audit Executive and the Director of Internal Audit with the execution of the university's Internal ... administration and provide other consulting and advisory services as requested. The Senior Auditor performs audit and advisory services in conformance with the… more