- City National Bank (Los Angeles, CA)
- * FRAUD STRATEGY ANALYST 1LOD* WHAT IS THE OPPORTUNITY? The Internal Fraud Strategy Analyst participates actively in the Bank's fraud prevention and ... mitigate both the Bank's and our clients' exposure to potential fraudulent activities. The Analyst works with the Internal Fraud Strategy Lead and is responsible… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … Healthcare Administration, Statistics, or a related field) preferred. + Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), ... the development of investigation targets, proposes new methods of data analytics and healthcare informatics to discover Fraud , Waste and Abuse activities as well… more
- DoorDash (Tempe, AZ)
- …is encouraged to grow and adapt. About the Role As a top-tier operator, the Fraud Insights Analyst serves as the primary investigator within the team. They ... and Merchants, and combating fraudulent activities effectively. Reporting directly to the Fraud Operations Associate Manager, the Analyst works closely with our… more
- City National Bank (Los Angeles, CA)
- * FRAUD TEAM SUPPORT ANALYST * WHAT IS THE OPPORTUNITY? Responsible for analytical and project support for Fraud operations, including: conducting analysis of ... transactional data for fraud trend evaluations, queries to analyze compromises, create and...and perks we offer our colleagues including: * Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available… more
- New York State Civil Service (Albany, NY)
- …detectives, data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations. The Medicaid ... State NY Zip Code 12224 Duties Description Criminal Justice DivisionMedicaid Fraud Control Unit - AlbanyMedical Analyst Reference No. MFCU_ALB_MA_6399Application… more
- New York State Civil Service (Syracuse, NY)
- …data analysts, and legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage ... State NY Zip Code 13202 Duties Description Criminal Justice DivisionMedicaid Fraud Control Unit - SyracuseMedical Analyst Reference No.… more
- Zelis (Plano, TX)
- …gained, and the personal interests that shape who you are. Position Overview The Healthcare Data Analyst will be responsible for analyzing and managing ... So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more… more
- City National Bank (Newark, DE)
- *REPORTING ANALYST III* *WHAT IS THE OPPORTUNITY?* The Reporting Analyst III is an integral part of the Enterprise Fraud Management team. The role is ... accountable for owning and evolving Fraud Risk Management managerial reporting. Reporting includes gathering data...management, reporting and query tool or as a Business Analyst * Minimum 3 years in the Financial Services… more
- City National Bank (Los Angeles, CA)
- *BUSINESS PROCESS ANALYST LEAD* *WHAT IS THE OPPORTUNITY?* This role is an opportunity to play an integral role on the Enterprise Fraud Management team. The role ... requires Fraud subject matter expertise, accountability for a specific Fraud Risk portfolio (eg, a product like credit cards, or a channel like digital… more
- MyFlorida (Tampa, FL)
- …in Tampa, Florida or Orlando Florida, and involves auditing complex multi-million-dollar healthcare fraud investigations that can result in criminal and/or civil ... AUDIT EVALUATION & REVIEW ANALYST - 41001236 Date: Sep 10, 2025 The...as lead investigator on cases involving suspected Cost Report Fraud and Prospective Payment System Medicaid provider fraud… more
- Travelers Insurance Company (Richardson, TX)
- …terminology. + Industry certifications (Certified Insurance Fraud Investigator, Certified Fraud Examiner, Accredited Healthcare Fraud Investigator). + ... Unit Investigative Analyst , you will proactively analyze data to determine fraud schemes, trends and conduct major case investigations. Your attention to detail… more
- CVS Health (Harrisburg, PA)
- …conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to ... and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. - Demonstrates high level of knowledge and… more
- CVS Health (Hartford, CT)
- …investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud , waste, and abuse. Also reports suspected ... Components:** - Conducts investigations of known or suspected acts of healthcare fraud , waste, and abuse - Communicates with federal, state, and local… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. The **Senior RFI Analyst ** within the Special Investigations Unit (SIU) plays a key role in supporting fraud ... and documentation across multiple lines of business and jurisdictions. The analyst collaborates closely with investigative teams, legal, compliance, and operational… more
- CVS Health (Albany, NY)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team ... you will manage complex investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
- Cedars-Sinai (Beverly Hills, CA)
- …10-the most prestigious level of certification-among more than 300 surveyed healthcare organizations. Cedars-Sinai netted high scores across multiple verticals and ... health innovation. **What you will be doing:** The Telecom Analyst will help design, develop, and run operational/financial databases...to requests from user groups and the development of fraud protection reports that identify possible sources of … more
- CACI International (New Orleans, LA)
- …seeking a Litigation Support Analyst to assist US Department of Justice Criminal Fraud Section attorneys in the litigation of healthcare fraud cases. ... Litigation Support Analyst (DMA II) Job Category: Service Contract Act...At CACI, you will receive comprehensive benefits such as; healthcare , wellness, financial, retirement, family support, continuing education, and… more
- Zelis (Somo, WI)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions....are seeking a highly motivated and detail-oriented Sr FP&A Analyst to join our Finance team and play a… more
- Zelis (GA)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across… more
- CACI International (Washington, DC)
- Legal Support Analyst 1 (Entry Level Legal Support) Job Category: Service Contract Act Time Type: Full time Minimum Clearance Required to Start: DOJ MBI Employee ... entry level position supporting the Department of Justice Criminal Fraud Section on critical matters? This is an opportunity...resources to add to your skillset. The Document Management Analyst (DMA) role works closely with the Health Care… more