- Geisinger (Danville, PA)
- …Bachelors degree, nursing and / or health care investigation experience, Certified Fraud Examiner, National Health Care Anti- Fraud Association accreditation. Job ... Duties Conducts investigations and research relating to preventing, detecting and correcting fraud , waste and abuse in all lines of business. Maintains a caseload… more
- Prime Therapeutics (Columbus, OH)
- …- Remote - Must Reside in CA **Job Description Summary** Responsible for the intake and initial handling of allegations of fraud , waste or abuse. Conducts ... audit or investigation. Serves as a corporate resource on fraud , waste and abuse issues and maintains confidentiality and...Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties… more
- MyFlorida (Tallahassee, FL)
- SENIOR CONSUMER SERVICE ANALYST - 41000334 (Bilingual Spanish - Speaking Opportunity) Date: Apr 24, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel ... Requisition No: 823155 Agency: Office of the Attorney General Working Title: SENIOR CONSUMER SERVICE ANALYST - 41000334 (Bilingual Spanish - Speaking Opportunity)… more
- City of Norfolk, Virginia (Norfolk, VA)
- …The Department of Human Services is seeking to hire a Benefit Programs Supervisor, Senior for the VIEW, Energy Assistance and Fraud teams. The Benefit Programs ... supervisory experience in multiple programs with a strong emphasis in TANF/VIEW for both intake and ongoing, Energy Assistance and the Fraud program. + Ability… more
- Highmark Health (Parkersburg, WV)
- …and the business leaders.Serves as a single point of contact to respond and intake risk from the senior leadership team, and follows protocol to triage. ... but is not limited to education and training requirements, reporting and intake protocols, monitoring and implementation of new or changing regulatory requirements,… more
- DoorDash (San Francisco, CA)
- …(Canada, Mexico, Australia, and New Zealand). About the Role The Senior Workplace Investigations Business Partner (Sr. Workplace Investigations BP) is a ... This role will effectively conduct and manage complex internal investigations from intake to resolution while ensuring that employees are treated fairly and with… more
- Bausch Health (Bothell, WA)
- …which has the following functionalities; + First level Technical/product support intake from customers, affiliates and distributors through phone, email and internet ... and support documentation of customer calls and transfer to Quality system complaint intake database + Maintain a Solutions (FAQ) database for the global PS&S team… more
- MetLife (NY)
- …internal investigations, handles internal allegations and suspicions related to fraud and unethical behavior, develops the enterprise-wide framework for concern ... a leadership role in preparing reports and metrics for distribution to senior management, business committees, internal and external auditors, and regulators. This… more
- Option Care Health (Columbus, OH)
- …+ Direct the company's confidential Ethics & Compliance Hotline including intake , case management workflow, reporting, analytics and managing relationships with ... outside vendor partners. + Lead and oversee investigations into allegations of fraud , waste, abuse, and other compliance concerns, ensuring thorough and objective… more
- State of Massachusetts (Boston, MA)
- …and drafts correspondence. 12. Assist in performing system testing/reporting as required. 13. Intake reports of potential fraud through the Department's Fraud ... *What 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,… more
- Capital One (Mclean, VA)
- …Identity** Provide secure, world-class Identity services that protect customers, combat fraud , and enable delightful experiences for all 100M+ consumers across all ... delivery and effective governance **About the Role** As a Senior Associate of Process Management within the ECP Product...Management to design a pilot for a net-new ECP intake management process (ie, triaging and adjudicating ad-hoc requirements… more
- Highmark Health (Pittsburgh, PA)
- …operation of the business entity.Serves as a single point of contact to respond and intake risk from the senior leadership team, and follows protocol to triage. ... but is not limited to education and training requirements, reporting and intake protocols, monitoring and implementation of new or changing regulatory requirements,… more
- Family and Children's Association (Mineola, NY)
- …issues, dangers of misuse of prescription drugs, alcohol, substances and prevention of scams/ fraud in the senior population. The program will offer short term ... Case Manager $26.37/hr The Senior Safety Net (SSN) program will increase access...client's needs. + Prepare and maintain client case records ( intake paperwork, behavioral health assessments, individualized care plans, discharge… more
- Ross Stores, Inc. (Dublin, CA)
- …and reputational risk, terrorism, social and political activism, crime and fraud , political stability, economic uncertainty, cultural and societal trends and risks\. ... crisis response actions and build critical updates and communication for our senior executives\. Manage complex decisions, tasks and arising situations in the moment… more
- Jabil (St. Petersburg, FL)
- …service to security operations teams to support new Service Requests / Intake Process + Provide access management consultation and oversight for customer connections ... deliver solutions + Consult and Inform Enterprise Architects and Senior IT Architects to design and deliver solutions +...plan; and employee stock purchase plan. BE AWARE OF FRAUD : When applying for a job at Jabil you… more
- CommonSpirit Health at Home (Milford, OH)
- …etc. 6. Communicates state, federal, local government program regulations, topics of fraud and abuse, etc. relating to company reimbursement. 7. Collaborates with ... in a timely, accurate and consistent fashion. 22. Assures all financial intake and billing tasks are completed timely and accurately. 23. Monitors workflow… more
- Coinbase (Mountain View, CA)
- …high frequency, low latency updates, keeping the platform safe from fraud , enabling delightful experiences, and managing the most secure, dockerized infrastructure ... of your customers + Work on projects with engineers, designers, product managers, and senior leadership to help turn our product and technical vision into a tangible… more
- Coinbase (Dallas, TX)
- …status, and areas for improvement. Present findings and recommendations to senior management and stakeholders as needed. + Collaborate with internal stakeholders, ... + Minimum 3-5 years of experience in compliance domain (AML, KYC, ORM, Fraud Investigations or CAMS certification ). + Deep understanding of regulatory compliance… more