- 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 ... of managers and professional individual contributors with a focus on executing risk -based fraud and claims program. + Identify, formulate, and implement … more
- USAA (San Antonio, TX)
- …+ ** Claims Domain Expertise** : Proven understanding of end-to-end claims processes, including FNOL, subrogation, fraud detection. + **Leadership** : ... strategy and operational goals. + **Cross-Functional Collaboration:** Effective in partnering with Claims Operations, Legal, Actuarial, Risk , IT, and Data &… more
- Ankura (Chicago, IL)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... pharmacy, medical science, economics, accounting, and data science. As a Senior Director , you can expect to: . Demonstrate the highest degree of professionalism,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** The Director , Information Security Architect is responsible for providing leadership through definition and communication of security control ... solutions and services in line with industry frameworks and the company's risk appetite. This role exhibits and continually develops expertise within the information… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Description** The Associate Director , Strategic Sourcing, Research Category Lead, will lead strategic sourcing efforts for key R&D categories including ... a value-added service to the organization. **Job Description** The Associate Director , Strategic Sourcing, Research Category Lead, will execute on Sourcing… more
- Lockheed Martin (Bethesda, MD)
- …Practices Act and other anti\-corruption regulations, accounting fraud , procurement fraud , cross\-border investigations, and/or the False Claims Act * ... **Description:** We are seeking an experienced and highly skilled Director and Associate General Counsel - Investigations, to lead our Global Legal Investigations… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- **Job Summary** **** The Associate Director , MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... technology transfers to CDMOs, including documentation review, gap analysis, and risk assessment. + Provide expert technical oversight of downstream manufacturing… more
- Otsuka America Pharmaceutical Inc. (Carson City, NV)
- …skilled and experienced professional to join our organization as the Assoc. Director of Manufacturing Science and Technology (MSAT) for Upstream processes. This ... technology transfers to CDMOs, including documentation review, gap analysis, and risk assessment. + Provide expert technical oversight of upstream manufacturing… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …in both in-line brand stewardship and upcoming product launches, the Associate Director , Channel Strategy and Patient Affordability will serve as a key strategic ... JNT517, Uli - may require non-traditional distribution requirements). + ** Risk Mitigation & Prioritization:** Lead structured prioritization efforts across the… more
- Otsuka America Pharmaceutical Inc. (St. Paul, MN)
- **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... GMA training teams while aligning with CoE training efforts + **Performance & Risk Management:** + Provide regular updates on the performance and effectiveness of… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... with Company policy and strategy and gain a consensus of risk mitigation approaches. **Key Responsibilities:** + **Inspection Readiness:** Ensure continuous… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Position Summary** The Senior Director , US Commercial Asset Planning is responsible for defining and driving Otsuka's US CNS portfolio strategy, ensuring a ... teams to ensure alignment on asset priorities, investment decisions, and risk mitigation strategies. + **Performance Measurement & Optimization:** Establish KPIs to… more
- MAPFRE Insurance (Webster, MA)
- …product development + Risk management and operational optimization + Retention, fraud detection, claims , and marketing + Demonstrated ability to define and ... Director , Advanced Analytics Date: Jul 28, 2025 Location:...to deliver impactful, data-driven solutions across marketing, product, operations, claims , and more. You'll oversee a high-performing team of… more
- Cambridge Health Alliance (Cambridge, MA)
- …This role is responsible for overseeing Medicaid and Medicare enrollment, claims , reporting, risk adjustment, compliance, contract management, and system ... Director , Health Plan Operations - PACE Elder Service...* Ensure regulatory compliance with MassHealth renewals and Medicare risk adjustment documentation. * Oversee Medicare and Medicaid payment… more
- BeOne Medicines (San Mateo, CA)
- …US healthcare fraud and abuse laws (eg, Anti-kickback statute, False Claims Act), FDCA, FDA guidance, OIG Compliance Program Guidance, OIG advisory opinions, and ... is actively seeking a seasoned compliance leader at the director level who thrives in fast-paced settings, brings a...in fast-paced settings, brings a proactive, pragmatic approach to risk management, and is driven to make an impact.… more
- Comerica (Dallas, TX)
- Job Description DIVISIONAL HR DIRECTORThe Human Resource Director is responsible for aligning human resources practices with business objectives across various lines ... planning, organizational design, and talent management initiatives. The Human Resources Director leads a team of HR consultants and collaborates cross-functionally… more
- NASCO (Denver, CO)
- …deployment of AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment, fraud detection, and personalized member engagement + ... **Overview** Under general direction, the Director of Data and AI Architecture will drive...Familiarity with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization)… more
- Mom's Meals (Ankeny, IA)
- Position SummaryThe Senior Director - Compliance and Privacy is a strategic and experienced leader responsible for independent management and direction of the ... the leadership of the Chief Compliance Officer. The Sr. Director - Compliance and Privacy collaborates extensively with management,...an effective compliance program with an emphasis on federal fraud and abuse laws and HIPAA + Responsible for… more
- NTT America, Inc. (Plano, TX)
- …and value propositions that demonstrate measurable impact for insurance clients-across underwriting, claims , customer experience, fraud , and risk . + ... apply now. We are currently seeking a Global AI Director , Insurance - REMOTE to join our team in...Plano, Texas (US-TX), United States (US). As an AI Director aligned to the Insurance sector, you will play… more
- American Express (Phoenix, AZ)
- …of Whistleblower claims , Significant Ethics Violations, and certain instances of Fraud to the Audit and Compliance Committee of the Board of Directors. The ... unusual or irregular activities, including suspected and actual cases of internal fraud , Code of Conduct violations and other improprieties. The team is also… more