• Senior Fraud and Claims

    Wells Fargo (Roanoke, VA)
    …and functions. + Ability to influence across all organizational levels, particularly senior management . + Ability to quickly establish credibility to build ... **About this role:** Wells Fargo is seeking a Senior Business Execution Consultant on the Workforce ... Senior Business Execution Consultant on the Workforce Management team within Consumer and Small Business Banking Operations… more
    Wells Fargo (05/31/25)
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  • Bank Agile Product Owner Senior

    USAA (Chesapeake, VA)
    …Product Manager, Scrum Master or Tech Lead/Delivery Manager + 1+ years supporting Fraud , Claims , Data Transformation, Modeling or Workflow Applications in an ... us special and impactful. **The Opportunity** Looking for a Senior Product Owner to join Bank Financial Crimes to...Owner to join Bank Financial Crimes to support the Fraud Operations team in delivery of IT work on… more
    USAA (05/28/25)
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  • Device and Non Monetary Fraud Lead Analyst

    Bank of America (Richmond, VA)
    …process gaps and deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst- This job is responsible for performing ... + Advanced degree in Computer Science, Data Science, Statistics, or related field + Fraud or Claims background with focus on Online Banking, Account Takeover,… more
    Bank of America (05/30/25)
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  • Fraud Business Analyst

    PenFed Credit Union (Mclean, VA)
    …and accurate reporting while minimizing redundancy. + Research, investigate and monitor fraud claims items until resolved (backup capacity, if required). ... datasets, creating and maintaining MIS, monitoring and identifying emerging fraud trends, and communicating findings to management ....current fraud trends and root causes, identify fraud risk gaps, and collaborate with senior more
    PenFed Credit Union (05/21/25)
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  • Senior Life Science Claims

    Sedgwick (Richmond, VA)
    …as applicable to line of business preferred. **Experience** Eight (8) years of claims management experience or equivalent combination of education and experience ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To… more
    Sedgwick (05/28/25)
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  • Senior Manager, Fleet & Sample Operations

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …day to day operations and issue resolution. Escalate issues as appropriate to senior management . + Proactively source and develop ideas to improve fleet ... **Position Summary** The Senior Manager, Fleet & Samples Operations oversees the...ensure the fleet program supports field deployment needs. **Samples Management & Compliance** + Ability to operate independently in… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Senior Director, Federal Government Affairs

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    We are seeking a Senior Director, Federal Government Affairs to lead our US federal government engagement in Washington, DC. This position reports to the Vice ... the strategic leader, and a member of the Government Affairs Leadership Team, the Senior Director of the Federal Government Affairs will play an integral role in… more
    Otsuka America Pharmaceutical Inc. (04/19/25)
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  • Senior Director, Global Clinical…

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …in support of domestic and international clinical development initiatives. The Senior Director, GCD works in a multidisciplinary matrix environment and supports ... on the large global clinical trials and regulatory filing activities. The Senior Director, GCD is responsible for all the clinical development activities for… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Senior Manager, Specialty Pharmacy…

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …Director, Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of ... smooth operations, and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers, Field Reimbursement… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Senior Manager, Field Technology…

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    **Position Summary** The Senior Manager of Field Technology will lead the design, optimization, and delivery of field sales reporting platforms and tools. This role ... continuously enhanced for usability and impact. **Key Responsibilities:** **Sales Systems Management & Support** + Manage the day-to-day operations and performance… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Investigator Senior

    Elevance Health (Roanoke, VA)
    …health plan, line of business and/or state. + May interface internally with Senior level management and legal department throughout investigative process. + May ... **Investigator Senior ** **Supports the Payment Integrity line of business**...and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds… more
    Elevance Health (05/23/25)
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  • Senior Manager, Global Regulatory Affairs

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …(Word, Excel, PowerPoint, Outlook) and familiarity with electronic document management systems (EDMS). **Competencies** See OPDC Competencies Chart (Level X) ... in regulatory affairs or related areas (eg, clinical development, project management , quality assurance, etc.) in pharmaceutical or healthcare related industry.… more
    Otsuka America Pharmaceutical Inc. (04/23/25)
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  • Senior Manager, CMC Global Regulatory…

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …needed for the function including and not limited to CREDO (doc management ), ORIOM (regulatory information), Trackwise, TRS Viewer, Concur (expenses), and Microsoft ... 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. (04/26/25)
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  • Senior Special Investigations Coding…

    CVS Health (Richmond, VA)
    …a team of coding/nursing professionals who conduct reviews of medical records and claims for suspected healthcare fraud , waste, and abuse. Provides direction and ... and efficient scalability along with meeting or exceeding ROI. + Team Management : Conducts team member evaluations and provides performance feedback to staff.… more
    CVS Health (05/24/25)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Richmond, VA)
    …other internal initiatives which may include but not limited to fraud detection, corporate compliance, wellness/disease management , and product development ... quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of… more
    Highmark Health (05/21/25)
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  • Associate Director, Brand & Sales Analytics

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …complex matrix environment that includes areas in marketing, sales, sales operations, senior leadership among others. **Job Description** + Function as a proactive, ... datasets from IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength in one or… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Associate Director, Channel Analytics, CNS

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …to ensure efficient targeting and resource allocation. **Collaboration & Stakeholder Management ** + Act as a strategic thought partner to marketing, sales, ... to refine models and methodologies. + Present insights and recommendations to senior leadership in a clear, compelling manner. + Ensure alignment with commercial… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Associate Director, Thought Leader Liaison, Renal…

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …feedback. **Position Overview:** The Thought Leader Liaison (TLL) is a senior , field-based role within the commercial organization, responsible for engaging with ... congress engagement plans with a focus on meaningful engagements with senior leadership. + Support commercial KOL influence mapping initiatives by developing… more
    Otsuka America Pharmaceutical Inc. (05/01/25)
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  • Director, Marketing Excellence

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …initiatives as well as annual brand planning. They will work closely with senior CNS BU and Brand leadership, Market Access, and Commercial Operations to define ... paths, business acumen, and mentorship programs in collaboration with HR and senior BU leadership. **Qualifications & Key Competencies** + Bachelor's degree in… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Director, Specialty Pharmacy Operations

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …smooth integration of pharmacy operations into product launch activities. **Operational Management & Oversight:** + Oversee the day-to-day operations of the ... metrics. + Prepare regular performance reports and provide insights to senior leadership on progress toward operational and business goals. **Team Development… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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