- LA Care Health Plan (Los Angeles, CA)
- …Oversight: Lead LA Care's Special Investigations Unit (SIU) in overseeing the internal and external investigations into fraud , waste, abuse, and ... or vendors. Partner with Legal, Compliance, and Human Resources on sensitive internal investigations to ensure confidentiality, integrity, and fairness. Ensure… more
- Ankura (San Francisco, CA)
- …are exceptionally qualified to advise on high-stakes matters. Role Overview The Global Investigations & Forensic Accounting Senior Managing Director role is an ... and system of quality control. + Assist external and internal counsel to perform investigations of corporations...procedures, and ethical behavior. + Work with colleagues, clients, fraud examiners, internal and external auditors, lawyers,… more
- Humana (Oklahoma City, OK)
- …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 ... to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will...to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues +… more
- CVS Health (Bismarck, ND)
- …States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex … more
- Intuit (Mountain View, CA)
- …processes * Preparing executive summaries and providing appropriate updates about investigations to executives and senior leaders * Supporting and ... are continuing to build a world-class, leading-edge Ethics & Investigations team at Intuit. The team sits under our...evaluate how to respond to changes in our own internal practices * Deeply understanding Intuit's unique culture and… more
- Bank OZK (Apollo Beach, FL)
- …Job Purpose & Scope Responsible for performing complex fraud incident investigations and case management, including collaboration with internal and external ... experience + Minimum of four (4) years of work experience in fraud investigations , bank security, bank loss prevention, and/or Bank Secrecy Act reporting,… more
- Geisinger (Danville, PA)
- …proper system set-up and operations for all activity. + Oversee all external and internal Fraud , Waste and Abuse and Program Integrity audits. + Responsible for ... for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and directs the… more
- Centene Corporation (Austin, TX)
- …with company values, business priorities, and compliance expectations. + Direct investigations into potential sales misconduct, fraud , misrepresentation, or ... Purpose:** Serves as a strategic leader overseeing all enterprise-wide sales investigations , with a primary focus on Medicare sales. Leads a high-performing… more
- City National Bank (Phoenix, AZ)
- …enforcement or investigative background * Experience in cybercrimes, payment systems financial fraud investigations , trading or sales fraud investigations ... governance model, policy and reporting metrics to monitor both internal and external fraud as well as...& payment risk, risk management, cyber or financial crime investigations , responsible for fraud or white collar… more
- Coinbase (Charlotte, NC)
- …foster collaboration, connection, and alignment. Attendance is expected and fully supported. Senior AML Investigations Trainer provides end to end learning ... training calendars, etc. * You will collaborate with multiple internal teams (Workforce Management, Vendor Management, Operations, Compliance etc) for… more
- Columbia Bank (Phoenix, AZ)
- …of operations functions engaged in the handling/resolution of AML alerts and manual investigations related to internal employee, fraud , and highly sensitive ... Director who can design, implement, and maintain a best-in-class AML and Fraud Investigations program, including robust transaction monitoring systems, to… more
- BMO Financial Group (Jacksonville, FL)
- Conducts investigations to identify, assess, decision and report on activity that indicates an exposure to financial crimes. Ensures potential threats and ... investigations are evaluated, documented, managed and escalated by following...level agreements. + Provides notification, information and instructions to internal /external stakeholders related to incidents as necessary. + Completes… more
- Blue KC (Kansas City, MO)
- …discount program** **Job Description Summary:** As part of Blue KC's Special Investigations Unit (SIU), the Fraud Investigator conducts reviews to identify ... health/safety and protection of plan assets. + Monitor hotlines, internal referrals, external fraud alerts (eg, CMS,...SIU policies and procedures. May work with Manager and/or Senior Investigator on larger, more complex, investigations .… more
- Academy Sports + Outdoors (Katy, TX)
- …creating a workplace environment that values hard work, commitment, and growth . The Senior Fraud Analyst serves as a strategic leader in protecting Academy's ... analytics and data interpretation, with a proven ability to lead complex fraud investigations , develop predictive models, and translate insights into strategic… more
- ADP (San Dimas, CA)
- …hiring a **Client Service & Product Support Consultant** **(Compliance),** Wisely Card Fraud Investigations in our Employee Financial Solutions organization. As ... identify trends and support business decisions. + Collaborate with vendors and internal stakeholders to optimize fraud prevention strategies and resolve issues.… more
- Bank of America (Jacksonville, FL)
- …enhance fraud prevention methodologies. + Analyze data and conduct investigations to identify patterns, trends, and anomalies indicative of potential fraud ... Fraud Analytics and Innovation Lead Analyst - ...on economic and portfolio conditions and communicates findings to senior management + Supports execution of large scale projects,… more
- Amazon (Tempe, AZ)
- …team Our team is comprised of experts in the risk domains like fraud , cybersecurity, data security, internal risk, threat intelligence, regulatory compliance, ... worldwide by protecting customers, brands, selling partners, vendors and Amazon from fraud , counterfeit, and abuse as well as providing world‐class support and… more
- Providence (Oakland, CA)
- **Description** **Investigator External Audit Special Investigations Unit \*Remote The SIU Audit Investigator supports the compliance related activities of the ... Special Investigations Unit (SIU) at the Health Plan. This role...the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related… more
- Bank of America (Scranton, PA)
- Operations Team Lead - US Wire Investigations Richmond, Virginia;Scranton, Pennsylvania **To proceed with your application, you must be at least 18 years of age.** ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Richmond/Operations-Team-Lead US-Wire- Investigations \_25040754) **Job Description:** At Bank of America, we are… more
- Subaru of America (Camden, NJ)
- …valuable opportunity to rationalize controls where applicable. + Performs critical investigations of suspected fraud using data analysis, interviews, and ... etiquette while addressing questions/criticisms from management. + Hands-on experience in investigations of suspected fraud . + Capability of performing risk… more