- State of Georgia (Fulton County, GA)
- …of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud investigations. Assists criminal justice personnel, ... not limited to, Analysts, Auditors, and Prosecutors in conducting on-site health care fraud and patient abuse investigations. Develops necessary knowledge… more
- BlueCross BlueShield of North Carolina (NC)
- …The Special Investigations Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company. ... to case closure + Prepares and conducts presentations and/or provides content for health care fraud and abuse education and awareness **What You'll Bring** +… more
- CVS Health (Charleston, WV)
- …of fraud and abuse **Required Qualifications** + 1 year experience working on health care fraud , waste, and abuse investigatory and audits required. + ... depositions, etc. **Preferred Qualifications** + 1-3 years experience working on health care fraud , waste, and abuse investigations and audits required… more
- MyFlorida (West Palm Beach, FL)
- …of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud ... with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud investigations, analysis… more
- Robert Half Management Resources (Phoenix, AZ)
- … fraud -related trends. * Preferred certifications include Certified Fraud Examiner, Accredited Health Care Fraud Investigator, Health Care ... This role involves conducting in-depth investigations to detect and prevent healthcare fraud , waste, and abuse, contributing to the integrity of healthcare services.… more
- Executive Office for US Attorneys and the Office of the US… (Washington, DC)
- …of white-collar crimes. FPCCR prosecutes fraud offenses against government agencies, including health - care fraud , tax fraud , and federal program ... including violent crime, child exploitation, human trafficking, drug trafficking, fraud , government corruption, cybercrime, terrorism, sanctions violations, espionage, and… more
- Executive Office for US Attorneys and the Office of the US… (Atlanta, GA)
- …most often brought for the United States under the False Claims Act and involve allegations of health care fraud , procurement fraud , grant fraud and ... seeks recovery of government funds fraudulently obtained, litigates affirmative civil fraud and enforcement actions, and defends the US Government's interest in… more
- Fox Rothschild LLP (Sarasota, FL)
- …Abilities:** + Experience with complex health care transactions. + Experience with health care compliance and fraud and abuse matters is preferred. + ... Corporate ( Health Care Regulatory) Associate - Sarasota **Description:** With bold growth in recent years, Fox Rothschild brings together 1,000 attorneys coast… more
- CACI International (Washington, DC)
- …to add to your skillset. The Document Management Analyst (DMA) role works closely with the Health Care Fraud attorneys in a fast-paced setting and assist in ... entry level position supporting the Department of Justice Criminal Fraud Section on critical matters? This is an opportunity...broad range of subject matters, such as financial records, health care materials, and other litigation files;… more
- Children's Hospital Boston (Boston, MA)
- …on a broad range of health care regulatory issues, including: + Health care fraud and abuse laws + Physician recruitment, especially in connection ... Week:40 Job Posting Category:Legal ServicesJob Posting Description:We are seeking a senior health care attorney with extensive experience with health care… more
- State of Colorado (Denver, CO)
- …CO Job Type Full Time Job Number UHA01380 03/08/2025 Department Department of Health Care Policy and Financing Division Medicaid Operations Office Opening Date ... everything we do, including hiring, employment, and advancement opportunities. The Department of Health Care Policy & Financing (HCPF) oversees and operates … more
- State of Colorado (Denver, CO)
- …the MFANU are: + To protect the state and federal funds dedicated to providing health care and medical services to Colorado Medicaid beneficiaries. + To hold ... research federal and state laws and regulations governing both the general provision of health care as well as the specific governance of the administration of… more
- House of Blues (AZ)
- Job Summary: JOB DESCRIPTION: Vice President, Payments & Fraud Location: Arizona or Texas Division: Ticketmaster (Global) Line Manager: Chief Operating Officer ... Contract Terms: Full Time THE OPPORTUNITY The Payments & Fraud team is a vital and central part of...Executive team. BENEFITS & PERKS Our motto is 'Taking Care of Our Own' through 6 pillars of benefits:… more
- UMB Bank (Kansas City, MO)
- …sponsored benefit plan including medical, dental, vision, and other insurance coverage; health savings, flexible spending, and dependent care accounts; adoption ... Responsibilities** This position will report directly to the Manager, Fraud Strategy and Analytics and will be responsible for...UMB isn't comprised of workers, but of people who care about their work, one another, and their community.… more
- UMB Bank (Kansas City, MO)
- …sponsored benefit plan including medical, dental, vision, and other insurance coverage; health savings, flexible spending, and dependent care accounts; adoption ... to hybrid or remote working schedule The Sr Card Fraud Claims Analyst will be a member of the...UMB isn't comprised of workers, but of people who care about their work, one another, and their community.… more
- Charles Schwab (Lone Tree, CO)
- …is to protect our client's and the firm's assets by preventing and mitigating fraud losses by utilizing various tools and vendor solutions such as Enterprise Risk ... Engine (Actimize), ThreatMetrix, OASIS, Visa Fraud Modeling, and other vendor Models. TRIAD is responsible...basis. We offer a competitive benefits package that takes care of the whole you - both today and… more
- JPMorgan Chase (Columbus, OH)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... the status quo and striving to be best-in-class. As a Risk Management - Fraud Risk Strategy - Senior Associate in Credential Management Strategy team, you will use… more
- Comerica (Farmington Hills, MI)
- …such as life insurance, AD&D, and supplemental health programs to offset unexpected health care expenses. We also have a variety of time off programs for ... Job Description Manager, Fraud Ops Risk Oversight The Fraud ...to recognize and reward individual performance, as well support health , well-being, development and security for our colleagues and… more
- JPMorgan Chase (Columbus, OH)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... Are you ready to lead the charge in safeguarding our clients and firm from fraud ? As a Vice President in Asset Wealth Management Fraud Management, you'll have… more
- Walmart (Bentonville, AR)
- **Position Summary ** We are seeking a highly skilled and experienced Fraud Rules Manager to join our Fraud Strategy team. In this role, you will play a key part ... in managing returns abuse, policy enforcement, and fraud on the ecommerce platform. You will collaborate with...purchase plan, paid maternity and parental leave, PTO, multiple health plans, and much more. **Equal Opportunity Employer** Walmart,… more
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