- StateJobsNY (Albany, NY)
- …to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management , MDS 3.0 Resident Assessment, and/or managed care; *Prior ... Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Albany Medical Analyst Reference No. MFCU_ALB_ MA_6393 Salary is $82,953 To be considered… more
- Crystal Stairs (Los Angeles, CA)
- …coordinate with front desk, and update the appeals calendar, tracking log, and case management system with appeal status. Review and/or update State and ... and agency goals as assigned by the Senior Hearing officer and Assistant Manager , Fraud Prevention and Appeals. EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU… more
- Oaks Integrated Care, Inc. (Trenton, NJ)
- …today and immerse yourself in a rewarding career for years to come! As a Case Manager , you will work within our Housing Supports program located in ... independent living and tenancy skills, including: housekeeping; cleanliness; time management ; financial literacy skills; budgeting; fraud prevention;… more
- Ross (Dallas, TX)
- …PURPOSE: Ross is always looking for qualified talent for our Area Loss Prevention Manager roles across the Nation, to express your interest please apply to this ... for a particular job function. The Area Loss Prevention Manager (ALPM) is responsible for protecting the assets of...and leadership to minimize operational shortage, mitigate theft and fraud , and maintain safe and secure environments for Ross… more
- Ross Stores (Mckinney, TX)
- GENERAL PURPOSE: The Area Loss Prevention Manager (ALPM) is responsible for protecting the assets of Ross Stores, Inc. while achieving shortage and safety goals for ... regular direction and leadership to minimize operational shortage, mitigate theft and fraud , and maintain safe and secure environments for Ross associates and… more
- Gap, Inc. (Inglewood, CA)
- …handling safety and external theft events, and the use of the Company Case Management and Reporting systems. The AP Manager reports to the Area AP Manager ... Specialists within your campus, including but not limited to: scheduling, prioritization, case building and overall performance management . This role will… more
- Public Health Trust of Dade Co (Miami, FL)
- …with multi-disciplinary team approaches (eg pre-admission, intake, treatment planning, case management plans, discharge planning, etc.). Assumes responsibility ... Care Services assumes responsibility for the planning, priority setting, coordination, management and evaluation of patient and staff education for the Jackson… more
- Anaplan (New York, NY)
- …for our customers. Your Impact Anaplan is currently seeking a GTM Strategy & Planning Manager to join our GTM Strategy & Planning organization. You will join a team ... recommendations based on your analysis Present findings to senior management in close collaboration with operating leaders Own and...what's next and able to deliver a compelling business case for bringing new ideas forward Excel analysis skills… more
- TE Connectivity (Middletown, PA)
- …a safer, sustainable and more connected world. Job Overview TE Connectivity's Product Management Teams manage all aspects of a product, from driving new product ... power training and inference workloads for the AI revolution. The Global Product Manager will have responsibility for working in cooperation with other members of… more
- The Travelers Indemnity Company (Diamond Bar, CA)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. ... as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit... investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and… more
- Kairos (Coos Bay, OR)
- Description RELOCATION ASSISTANCE AVAILABLE! Primary Purpose: The Program Manager is responsible for the day-to-day operation of Coastline Services. This position is ... one-to-one clinical and administrative supervision using Feedback Informed Treatment (FIT) case review approach as assigned. Participate in rotating on call… more
- University of Maryland Medical System (Baltimore, MD)
- …physician, the primary care provider, the referring provider, the nursing staff, and the case manager . Communicates plan of care with the patients and family ... needed. Facilitates patient flow. Collaborates with the multidisciplinary team including case management ensuring appropriate and timely discharge. Provides… more
- Blue Shield of California (Oakland, CA)
- …you will: Provide guidance, quality review and execution of compliance and ethics case management and compliance activities Responds to inquiries and provides ... and program lead who will report to the Senior Manager , Compliance and Ethics. In this role you will...Privacy Office, SIU, Employee Relations) Support the coordination and management of the Corporate Compliance & Ethics communication portals… more
- The Providencia Group (El Paso, TX)
- …experience in a Supervisory/ Management /Lead role overseeing Clinical staff (Clinicians, Case management , Case Specialists, etc.). Clinical crisis and ... The Call Center Supervisor will report to the Project Manager and supervise a team of Lead Call Center...trafficking, abuse and neglect, and other forms of exploitation, fraud , and victimization and appropriately respond and follow-up. Ensure… more
- Raymond James Financial, Inc. (CO)
- …+ Fraud typologies, detection methods, and regulatory reporting requirements. + Fraud surveillance systems, case management tools, and SAR filing ... crime compliance. + Escalate issues or concerns to the Senior Manager of Fraud Investigations and Reporting and/or other senior management as needed. + Other… more
- Charles Schwab (Lone Tree, CO)
- …** will be responsible for platform strategy and execution in the Actimize Integrated Fraud Management (IFM) platform for the 1LOD; they will be the business ... analytical elements Work hands-on in: + Actimize IFM Policy Manager to author fraud prevention rules, build...Blaze Advisor, FICO Falcon, FICO Triad, Actimize IFM, SAS Fraud Management + Rules/Policy Managers + Analytics… more
- Raymond James Financial, Inc. (CO)
- …+ Fraud typologies, detection methods, and regulatory reporting requirements. + Fraud surveillance systems, case management tools, and SAR filing ... to the Manager of Fraud Monitoring, Senior Manager of Fraud Investigations and Reporting and/or other senior management as needed. + Other duties as… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …AML and fraud systems-including transaction monitoring, sanctions screening, KYC/CDD, case management , and fraud analytics-ensuring integration with ... and Fraud platform design and architecture, including transaction monitoring, case management , sanctions screening, and KYC/CDD systems. + Experience… more
- Amazon (Goodyear, AZ)
- Description We are looking for a motivated, data savvy investigations manager to initiate and support high scale customer return fraud & abuse investigations, as ... developing a comprehensive understanding of the drivers of complex fraud schemes, and possess the ability to conduct large...normal customer return behavior - Organize comprehensive and accurate case documents and data packets for use in Legal… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 856383 Agency: Management Services Working Title: HEALTH INSURANCE ... collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case...reports and statistical/financial analysis to support findings of potential fraud , waste, and abuse. + Present case … more
