- TD Bank (Greenville, SC)
- …you more specific details for this role. **Line of Business:** Financial Crimes & Fraud Mgmt **Job Description:** _The Check Fraud Team Manager is responsible ... a team in the investigation, and resolution of check fraud cases. This role requires a strong analytical mindset,...strategic direction of the function and provide advice to senior leadership + Ability to establish goals and objectives… more
- Wells Fargo (Charlotte, NC)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Director to report to the Head of Claims and Recovery. This group is responsible ... + Manage allocation of people and financial resources for Fraud and Claims Operations +...and policies. + Effectively partner and influence at the senior and executive level. + Proven ability to drive… more
- Wells Fargo (Chandler, AZ)
- …Team. This role will support the Enterprise Internal Fraud (EIF) group in Fraud and Claims Operations . The Insights and Analysis team is responsible ... **About this role:** Wells Fargo is seeking a Senior Lead Analytics Consultant for the Enterprise Internal...insights and analysis, routines and programs related to Internal Fraud Risk. This role will be responsible for identifying… more
- Elevance Health (Norfolk, VA)
- **Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... dynamic and adaptable workplace. Alternate locations may be considered. The **Clinical Fraud Investigator Senior ** is responsible for identifying issues and/or… more
- Citizens (Pittsburgh, PA)
- …Citizens Fraud & Claims Organization is seeking a dynamic and experienced Senior Fraud Operations Manager to lead our OLB and Mobile Fraud ... Description Job Title: Senior Fraud Operations Manager - OLB and Mobile Fraud Detection Description:… more
- Cambridge Savings Bank (Waltham, MA)
- POSITION: Fraud Operations Analyst Summary: At Cambridge Savings Bank, our purpose is to have a positive impact on our customers, employees, and community's ... having a strong commitment to diversity and inclusion. The Fraud Operations Analyst is responsible for supporting...contacts including law enforcement + Experience in investigative tactics, fraud analysis, claims , and recovery process +… more
- City National Bank (Los Angeles, CA)
- …ANALYST* WHAT IS THE OPPORTUNITY? Responsible for analytical and project support for Fraud operations , including: conducting analysis of transactional data for ... ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department...processes and client protection. * Provide escalation support for fraud operations , and review high risk alerts.… more
- Kemper (Chesterfield, MO)
- …Come join us in Growing for LIFE. **POSITION SUMMARY** : Kemper is seeking a Senior Accident & Health Claims Adjuster to support our organization's Health ... being world-class operators. Kemper Life has a talented Sales Operations team that helps support this strategic intent with...Claims team. As a Senior Accident & Health Claims Adjuster, you… more
- USAA (San Antonio, TX)
- …strategy and operational goals. + **Cross-Functional Collaboration:** Effective in partnering with Claims Operations , Legal, Actuarial, Risk, IT, and Data & ... + ** Claims Domain Expertise** : Proven understanding of end-to-end claims processes, including FNOL, subrogation, fraud detection. + **Leadership** :… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- **Summary of the Position:** The Senior Wire Operations Associate will deliver high quality customer service and perform daily processing of financial ... transactions in a fast paced, time sensitive operations environment. The Senior Wire ...fraud + Investigates and researches suspicious or fraudulent claims in accordance with the Bank's policy and procedures… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- **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. (Bismarck, ND)
- …Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of ... This position will be responsible for the Specialty Pharmacy operations for OAPI The position will report to Director,..., and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers,… more
- CareFirst (Baltimore, MD)
- …offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems, medical ... **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and...and resolution of all levels (low to complex), of fraud , waste, and abuse schemes, resulting in the savings… more
- Wells Fargo (Charlotte, NC)
- …the seamless execution, compliance, and innovation of payment processes across our global network. ** Fraud and Claims Management:** + Fraud and Claims ... Wells Fargo is seeking talent to join the Global Operations team under the Chief Operating Office (COO) organization...prevent victim and perpetrator fraud , processes check fraud and Automated Clearing House (ACH) claims ,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Position Summary** The Senior Director, Marketing Enablement is a key leadership role responsible for driving marketing and commercial excellence across Otsuka's ... across the brand and indication matrix teams. This role will partner with senior CNS BU Leadership and be accountable for developing and delivering a multi-year… more
- Elevance Health (Mason, OH)
- …to worksite and other locations as necessary . BA/BS preferred . Medical claims review with prior health care fraud audit/investigation experience preferred . ... **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit**...and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review.… more
- Otsuka America Pharmaceutical Inc. (Concord, NH)
- **Position Overview:** The Senior Director, MSAT Biologics provides strategic and technical leadership for all late-stage and commercial manufacturing processes for ... supporting the company's portfolio, focusing on technical oversight of CDMO manufacturing operations . + Build, lead, mentor, and manage the MSAT team, fostering a… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …solutions for the commercial data and analytics domains. **Job Description** The Senior Manager for Commercial Data and Analytics role involves engaging commercial ... operations teams, data and analytics teams, brand marketing teams,...design, quality, financial transparency, and best practices. Additionally, the Senior Manager role will collaborate with cross-functional Data &… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- The Senior Manager, Platform Engineer, Operational Support will be responsible for managing and enhancing platform integrations across data systems, Salesforce ... capabilities. + Collaborate closely with business stakeholders, Health Experience operations , and cross-functional teams to define technical requirements, deliver… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Senior Product Manager, HCP Non-Personal Promotion (NPP) Marketing is responsible for developing and executing non-personal promotional (NPP) strategies for ... cross-functionally with sales, medical affairs, market access, digital, and commercial operations to ensure HCP marketing efforts are data-driven, integrated, and… more