• Fraud & Claims Operations

    Wells Fargo (San Antonio, TX)
    **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Manager in Detections Inbound Servicing team. **In this role, you will:** + ... scope of responsibility + Manage allocation of people and financial resources for Fraud and Claims Operations + Mentor and guide talent development of direct… more
    Wells Fargo (10/03/25)
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  • Fraud Operations Sr Manager

    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
    Citizens (10/02/25)
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  • Fraud Manager II

    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
    JPMorgan Chase (09/18/25)
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  • Enterprise Fraud Data Strategy Analyst

    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
    UMB Bank (09/27/25)
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  • Manager , Fraud and Waste

    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
    Humana (09/24/25)
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  • Medicaid Fraud Investigator (Special Agent…

    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 Colorado (08/27/25)
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  • Claims Examiner - Job Service Rep I

    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
    State of Massachusetts (08/23/25)
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  • Senior Manager , Fleet & Sample…

    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. (08/15/25)
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  • Manager , People Operations

    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
    Otsuka America Pharmaceutical Inc. (09/10/25)
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  • HC and Insurance Operations Analyst

    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
    NTT DATA North America (10/01/25)
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  • Manager , Supply Chain

    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. (09/10/25)
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  • Senior Manager , Process, Policy…

    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. (10/02/25)
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  • Manager , Leave Administration

    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. (09/10/25)
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  • Senior Product Manager , HCP Marketing,…

    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
    Otsuka America Pharmaceutical Inc. (09/12/25)
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  • (USA) Asset Protection Operations Coach…

    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
    Walmart (09/27/25)
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  • Senior Manager , Global Regulatory Affairs

    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
    Otsuka America Pharmaceutical Inc. (08/22/25)
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  • Senior Manager , Compliance Advisor…

    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
    Capital One (09/06/25)
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  • Assistant Dental Office Manager

    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
    ProSmile (09/25/25)
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  • Manager , Client Services

    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
    Zelis (10/03/25)
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  • Law Enforcement Investigator II

    MyFlorida (Fort Lauderdale, FL)
    …in 409.920, Florida Statutes. These matters include but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, ... the Office of the Attorney General within the Medicaid Fraud Control Unit in Fort Lauderdale, Florida. Pay:$60,000.20 -...subsection is submitted; or (b) Served in the special operations forces for a minimum of 5 years, provided… more
    MyFlorida (10/02/25)
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