- Citizens (Pittsburgh, PA)
- Description Job Title: Senior Fraud Operations Manager - OLB and Mobile Fraud Detection Description: Citizens Fraud & Claims Organization is ... seeking a dynamic and experienced Senior Fraud Operations Manager to lead...OLB and Mobile Fraud Detection teams. Citizens Fraud & Claims is dedicated to protecting… more
- JPMorgan Chase (Columbus, OH)
- …the Private Client Fraud & Claims team, you will oversee fraud operations and support senior leadership with key performance indicators, reporting, and ... perfect opportunity for you. As a Fraud Manager II within...a meaningful impact. **Job Responsibilities:** + Oversee and manage fraud operations , ensuring our clients receive top-tier… more
- UMB Bank (Kansas City, MO)
- …encouraged to work with their manager to develop roadmaps for opportunity within Fraud Operations and beyond. **_How you'll spend your time:_** + You will ... clients and internal partners to escalate, investigate, and resolve fraud claims multi payments channels and mitigate...UMB and financial knowledge, the Fraud Enterprise Operations team consists of 3 teams; Prevention, Claims… more
- Humana (Montpelier, VT)
- …and monitors investigations of allegations of fraudulent and abusive practices. The Manager , Fraud and Waste works within specific guidelines and procedures; ... goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement authorities. Leads team/investigators… more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator ... Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to preventing and… more
- State of Massachusetts (Boston, MA)
- …you'd do:* Claims Examiner/Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, MA, ... * Claims Examiner/Job Service Representative I| Department of Family...system testing/reporting as required. 13. Intake reports of potential fraud through the Department's Fraud Hotline. 14.… more
- Otsuka America Pharmaceutical Inc. (Columbia, SC)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... reliability, and compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities** **Fleet … more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The HR People Operations Manager plays a key role in delivering HR operational excellence by managing core employee lifecycle processes and supporting HR service ... quality delivery of system enhancements. + Oversee and evaluate day-to-day HR operations case management, ensuring timely assignment and resolution of cases while… more
- ICF (Baltimore, MD)
- …The Data Manager will be responsible for managing data analysis operations , supervising data analysts for the purposes of fraud detection, prevention, ... of the award. ICF is currently seeking a Data Manager to lead and oversee program integrity data analysis...deep understanding of healthcare data systems, Medicare and Medicaid claims , and the government's healthcare fraud , waste,… more
- NTT DATA North America (Oklahoma City, OK)
- …a HC and Insurance Operations Analyst to join our team. **Posisition:** ** Claims Case Manager ** **This position is eligible for company benefits including ... voluntary or legally required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our… more
- Otsuka America Pharmaceutical Inc. (Montpelier, VT)
- …with key vendors / suppliers. Working closely with program / project manager , product development, new product introduction, technical operations , site quality ... others can too._ In this exciting role, as a Manager within the OAPI supply chain team, you will...development, planning, and implementation of the S&OP (Sales & Operations Planning) process. You will support execution of global… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** As the Senior Manager of Process, Policy & Governance reporting to the Senior Director, Procurement Operations ; your primary focus will be the ... maintenance and enhancement of Otsuka's Procurement operations , processes and policies in support of Otsuka's North America portfolios. This role will have… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Leave Administration Manager is responsible for the oversight and administration of all employee leave of absence programs including FMLA, ADA, Short-Term ... ADA, STD, LTD, parental leave, personal leaves, military leave, etc.) across US operations . + Ensure compliance with applicable federal, state, and local leave laws,… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …cross-functional teams; eg, Medical, Sales, Learning and Development/Sales Training, and Operations is highly preferred. Experience managing a creative agency in the ... and collaborating with Stakeholder management + Working closely with Sales Operations team to ensure contracting, budget, scheduling of programming, payments, etc.… more
- Walmart (Battle Ground, WA)
- …training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures ... violations of company policies and criminal activities by investigating alleged fraud and other alleged illegal activities conducting investigations relating to the… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Capital One (Richmond, VA)
- …Protection to include Fraud Strategy and Prevention, Fraud Investigations, Claims and Disputes. **The Senior Manager supports the line of business by:** ... Senior Manager , Compliance Advisor - Retail Bank The Senior...services + At least 3 years of experience in operations , servicing, systems or platforms within retail bank **Preferred… more
- ProSmile (Parlin, NJ)
- Job Title: Assistant Dental Office Manager Department/Location: Operations Reports to: Regional Vice President FLSA Status: Exempt Company Overview ProSmile is ... ProSmile is in need of an Assistant Dental Office Manager who is looking to join a practice with...+ Has working knowledge of all insurances; handling of claims , attachments for claims + Maintains collection… more
- Zelis (NJ)
- …experience. + 3-5 years of experience managing a staff of 8+ within Claims Operations . + Excellent organizational skills are required to prioritize ... interests that shape who you are. Position Overview The Manager of Client Services will be responsible for the...of Client Services will be responsible for the day-to-day operations of the CSS team as well as, building… more
- Penske (Chicago, IL)
- **Position Summary** As a member of our Domestic Brokerage team, the Sr. Manager of Carrier Sales provides leadership for the Managers of Carrier Sales and works ... with Account Management, Pricing, and Claims / Compliance teams to execute business goals and...will lead to loss of volume or customers. * Risk/ Fraud Management - Mitigate PTM's exposure to Risk/ fraud… more