- Wells Fargo (Chandler, AZ)
- …education. + 4+ years of management or leadership experience. **Desired Qualifications:** + Fraud and Claims Management and Operations management experience ... is seeking a Quality Control Director to join the Fraud & Claims Management (FCM) Quality Control...skills, both written and verbal, with experience presenting to senior leaders, regulators, auditors, and other key stakeholders +… more
- Citizens (Johnston, RI)
- …and engage with business partner in related functional areas associated with fraud and claims investigations + Identify and recommend opportunities for ... Description Private Operations is committed to delivering a best-in-class experience...detection, investigation, recovery, and government or internal reporting of fraud and claims activity + Make decisions… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- **Job Description** **Summary of the Position:** The Senior Wire Operations Associate will deliver high quality customer service and perform daily processing of ... financial transactions in a fast paced, time sensitive operations environment. The Senior Wire Operations...fraud + Investigates and researches suspicious or fraudulent claims in accordance with the Bank's policy and procedures… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Job Summary** Senior Manager, GPV Aggregate Report & RMP Operations Apply knowledge and expertise in the area of aggregate reports and risk management plans. ... Deliverables + Reports to the Global Lead of Aggregate Report & RMP Operations + Contributes to the project management for production of Aggregate Safety Reports… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Lo_ _cation: This is a field position expected to be in clinic 60% of the time ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior ** is responsible for identifying issues and/or entities that may… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …Lead (GRL). + As an integral member of Otsuka's Regulatory Operations team, provides support for regulatory strategy assignments, monitoring, and oversight, ... queries, and regulatory obligations + Acts as primary liaison between Regulatory Operations and Clinical Management as well as other multiple company stakeholders to… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …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
- CVS Health (Tallahassee, FL)
- … claims billed and educating pharmacies on the findings. You will also analyze claims for fraud , waste, and abuse trends and report your findings to the ... manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations... claims processing - Knowledge of retail pharmacy operations including reading prescriptions and drug knowledge - Excellent… more
- Bausch Health (Bridgewater, NJ)
- …Access Analytics within Bausch Health's Commercial Insights, Analytics & Operations department. Responsibilities: + Provides market insights across all therapeutic ... areas by utilizing knowledge of the Market Access landscape, PlanTrak data, Patient Claims data, and Formulary data. + Conducts analytics in Market Access space… more
- Pegasystems (Boston, MA)
- …AI capabilities for financial services use cases such as intelligent underwriting, claims processing, fraud detection, and personalized customer journeys + ... Senior Manager of Solutions Consulting - Financial Services...meet their strategic business goals by streamlining their critical operations to engage their customers across multiple channels using… more
- Leonardo DRS, Inc. (Johnstown, PA)
- …manufacturing and support capabilities. **Job Summary** This position will provide senior -level support for the financial and program analysis management functions ... of conduct to include: conflicts of interests; improper practices; liability and fraud + Understand contract design and structure to include: FFP; CPIF; CPFF;… more
- EFI Global (Fayetteville, NC)
- …rules, policies, protocols, and procedures. + Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and ... decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global… more
- EFI Global (Tallahassee, FL)
- …analysis and engineering projects for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers ... decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global… more
- AAA Mid Atlantic (Wilmington, DE)
- …in place. + Assists with investigations into Workers Compensation and general liability claims , vehicle accidents and fraud with Corporate Legal, Internal Audit, ... Club Alliance (ACA) is hiring for a Director, Facilities Operations to join our team! What We Offer You:...+ Establishes, implements, and monitors incident response to theft, fraud , and other criminal behaviour. Provide guidance to the… more
- Wells Fargo (Irving, TX)
- …role:** Wells Fargo is seeking an Assistant General Counsel to join the Bank and Fraud Operations Section in the Consumer, Small & Business Banking & Enterprise ... the Wells Fargo Legal Department to support our Banking Operations and Strategic Transformation lines of business. As an..., strategies, or profitability + Provide legal advice to senior leaders on matters for management of the Corporation… more
- Lincoln Financial (Columbus, OH)
- …investment in the Group Protection (GP) business. As the largest function within GP, Claims & Operations has been diligently reviewing its strategy in alignment ... To successfully support GP's long-term strategic growth and profitability goals, the Claims & Operations function has embarked on a multi-year journey… more
- Kennebec Savings Bank (Augusta, ME)
- …and status; provide periodic status reports to the Chief Loan Officer and/or Senior Residential Lender. Refer questions or problems to the Chief Loan Officer and/or ... Senior Residential Lender as appropriate. Review and track all... Residential Lender the status of REO properties. Small Claims Management: Contact individuals responsible for debts to recover… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …of the Quality Systems and Risks will be reported periodically to Senior Management through the Management Review process to ensure alignment with Company ... readiness across all clinical trial sites, clinical and Pharmacovigilance (PV) operations . + **Audit Management:** Oversee the planning, execution, and follow-up of… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …with and elevate our overall GMA objectives. **Position Overview** Reporting to the Senior Director of Medical Affairs Excellence & Operations , this role will ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …Media, Market Research, Analytics, Otsuka Information Technology (OIT), Sales Operations , and Medical/Regulatory/Legal integrated business partners. + Maintain a ... new Otsuka initiatives. Present capabilities and garner buy-in/feedback from senior leadership across various stakeholder functional areas. + Troubleshoot roadblocks… more
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