- Amazon (Newark, NJ)
- …each other. Imagine your future with us. ABOUT THIS ROLE As the Fraud Investigation and Operations Lead for the Audible Fraud Defense Program, ... you will lead and oversee fraud investigations and operations at...under time sensitive deadlines. As a Fraud Investigation and Operations Lead , you… more
- DoorDash (Tempe, AZ)
- About the Team In the Fraud Operations department, the Insights Team plays a crucial role in generating actionable insights to counteract persistent fraud , ... role is ideal for someone who enjoys managing daily operations in a growing company, resolving fraud ...Google suite advance proficiency (sheets, docs, gmail, calendar) + Investigations experience ( fraud , insurance, law enforcement) +… more
- Amazon (Arlington, VA)
- …as the teams that we support to close investigations . The individual will lead the India Operations team and will proactively close open investigations ... financial system. The chosen leader will take ownership of fraud investigations and has a proven track...fraud schemes. This individual will ensure Amazon's Finance Operations stays ahead of risks while working collaboratively and… more
- Galileo Financial Technologies, LLC (Sandy, UT)
- …strategy and operations and using data to drive operational excellence. Fraud investigation experience is a plus. Galileo Financial Technologies provides ... Intelligence will have the responsibility managing Galileo's Strategy, Operational Fraud , and Fraud Investigation Unit...data to drive insights and improvement by partnering with Operations analytics. Lead and coach investigators on… more
- Citigroup (Irving, TX)
- …typologies + Excellent written, verbal and analytical skills + Exceptional knowledge of Fraud Operations + Must be a self-starter, flexible, innovative and ... compliance risk behaviors, providing day-to-day Compliance advice relating to operations , and guidance on the supported function/business/product fraud … more
- Elevance Health (Indianapolis, IN)
- …payment. + Researches new healthcare related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...including minimum of 2 years experience in a Clinical Fraud and Abuse Investigation area; or any… more
- Bank of America (Newark, DE)
- …place, and will self-create initiatives as needed. * Lead a team of fraud analysts in the identification, investigation , and mitigation of fraud ... enhance fraud prevention methodologies. * Analyze data and conduct investigations to identify patterns, trends, and anomalies indicative of potential fraud… more
- Centene Corporation (Austin, TX)
- …a culture of integrity and accountability. Provide strategic oversight of ethics investigations related to fraud , waste, abuse, and conflicts of interest, ... compliance across all business units and markets. + Provide oversight of internal investigations into allegations of fraud , waste, abuse, and conflicts of… more
- Intuit (Atlanta, GA)
- …mitigation strategies and assist in developing operational policies and procedures + Lead complex fraud tactical teams, including assessment, quantification and ... an exciting environment, this role in our FinTech Risk Operations organization may be for you. The ideal candidate...reducing the frequency of occurrence + Educate personnel on fraud and associated behaviors + Lead by… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead ) is responsible for overseeing the ... in Virgina to enhance the program's transparency and accountability. The Senior Fraud and Waste Professional also conducts investigations into allegations of… more
- DataVisor (New York, NY)
- …of experience in fraud strategy, risk analytics, customer success, or fraud operations within fintech, banking, payments, or e-commerce industries + Deep ... advanced fraud detection, AML compliance, and operational optimization. You'll lead customer engagements across a portfolio of Fortune 500 companies in FinTech,… more
- Navient (Bismarck, ND)
- …supporting business growth. + Partner with Fraud Operations to enhance fraud policies, procedures, and controls. + Lead , mentor, and develop a team of ... prevention analysts. + Oversee fraud detection and investigation efforts, collaborating with Operations and Engineering....a destination; it's a mindset of continuous improvement. + ** Lead Together** : Our success comes from how we… more
- Centene Corporation (Austin, TX)
- …or Juris Doctor (JD) preferred + 10+ years progressive experience in fraud investigations , healthcare compliance, or regulatory enforcement. required + ... to work remotely anywhere in the Continental United States. **Position Purpose:** Lead a team of investigators, clinical and coding reviewers, and analysts dedicated… more
- DoorDash (Tempe, AZ)
- …risks. + Directly influence business development and guide risk intelligence and investigations operations . + Guide functional teams and stakeholders through the ... intelligence and investigations function. The Manager of Risk Intelligence and Investigations will lead global threat and risk management response efforts by… more
- Intuit (Mountain View, CA)
- …& Self-Employed Group (GBSG). The successful analyst will work across functions ( Fraud & Risk Operations , Data Science, Compliance, Marketing, Product, Finance, ... detection systems that drives overall efficiency, customer experience and agent investigation capabilities + Effectively communicate fraud strategy and results… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Lead and oversee the FWA Program and work plan + Lead special investigations + Research, investigate and report fraud , waste and abuse cases + Utilize ... The Manager, Fraud , Waste & Abuse (FWA) provides leadership and...and AHCA regulatory requirements + Expertise in FWA, Special Investigations , claims processing, coding and medical terminology + Outstanding… more
- Amazon (Seattle, WA)
- Description The Special Projects & Investigations team is looking for a motivated, data savvy Sr. program manager to act as a force multiplier on our team's ... discoveries about fraud and abuse. This position will manage a portfolio...kept out of our stores. The Special Projects & Investigations (SPI) team protects Amazon's WW stores store by… more
- Amazon (Seattle, WA)
- …to make a difference? Join the team protecting Amazon customers from payment related fraud , misuse, and abuse. Have you ever thought about what it takes to detect ... Stakeholder Management: Listen and understand Payment Risk strategy, identify potential fraud and misuse risks, and align BRP teams and investments to… more
- State of Massachusetts (Boston, MA)
- …money and property. The OIG is an independent agency charged with preventing and detecting fraud , waste and abuse in the use of public funds and public property. By ... in accounting, auditing, financial analysis, law, management analysis, public administration, investigation or criminal justice administration." MGL c. 12A, | 2. The… more
- Intuit (Atlanta, GA)
- …**What you'll bring** * **Domain Expertise** : 7+ years of proven experience in fraud investigations , underwriting, risk operations , or a related field ... fraud detection, streamline operational response efforts, and reduce fraud /risk occurrences.* **Collaborate with senior leadership** (eg Operations Director… more