- JPMorgan Chase (Wilmington, DE)
- …most innovative financial organizations. As a Senior Product Associate within the Claims , Disputes and Fraud Operations , you contribute to the team ... by leveraging your expertise in product development and optimization to make a significant impact, supported by user research and customer feedback to fuel the creation of innovative products and continuously improve existing offerings. Collaborate closely… more
- Bank of America (Newark, DE)
- Fraud Analytics and Innovation Senior Leader - Client Protection Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; ... metrics to identify root causes. * Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) * Proven strong… more
- Humana (Oklahoma City, OK)
- …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This ... fraud , waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will… 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 ... activities in Virgina to enhance the program's transparency and accountability. The Senior Fraud and Waste Professional also conducts investigations into… more
- Citigroup (San Antonio, TX)
- …and development of advanced statistical models + Proven experience in the Investigation and Fraud claims process + Experience in trend analysis and alerts in ... The Fraud Ops Sr Analyst is a senior...Family Group:** Operations - Services **Job Family:** Fraud Operations **Time Type:** Full time **Primary… more
- Ally (Topeka, KS)
- …to the appropriate channels to ensure reasonable resolution. The Auto Fraud Investigator is responsible for conducting sophisticated investigations and in-depth ... this role is June 20, 2025. **The Work Itself** * Provide investigative and fraud risk services in support of the Automotive Finance Line of Business. Position is… more
- USAA (San Antonio, TX)
- …complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations , particularly Medicare Supplement claims handling (eg, ... + Serves as the primary point of contact within Claims and Fraud for medical trends research...with senior leaders and staff to establish claims and fraud waste and abuse philosophy,… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- **Job Description** **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 Operations...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. (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 (Hanover, MD)
- **Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Location:_ This field-based role enables associates to primarily operate in the ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor Senior ** is responsible for identifying issues and/or entities that may… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …strives to maximize contract value while maintaining strict quality standards. The Senior Director role is responsible for setting the vision, strategic direction, ... governance, annual and long-term objectives for R&D sourcing. Additionally, the Senior Director of Strategic R&D Sourcing partners with global affiliates and… more
- Otsuka America Pharmaceutical Inc. (Bismarck, ND)
- **Position Summary** The Senior Manager of Field Technology will lead the design, optimization, and delivery of field sales reporting platforms and tools. This role ... long-term commercial success. This individual partners closely with the Field Strategy & Operations team, Sales, IT, and Commercial Operations to ensure systems… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Position Summary** The Senior Director, Brand Lead - AAD is responsible for leading the commercial strategy, brand positioning, and execution for Rexulti in ... connection between HCP marketing, consumer engagement, and sales execution. The Senior Director will collaborate closely with market access, medical affairs,… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** The Senior Manager, IT Procurement Processes & Governance is a supporting role that assists in ensuring compliance with procurement policies and ... cost optimization initiatives. + Identify and mitigate vendor-related risks, including operations , cybersecurity and legal risks. + Support IT sourcing strategy and… more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- …with Product Owners (Business Owners), Delivery Lead (Product Development), Business Operations , Scrum Teams and External partners + Work across all teams ... + Status Reporting: Project health (risks, issues, decisions ) + Communicate with senior leaders on program execution as needed + Demonstrate political acumen, tact… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Position Summary** The Senior Manager, Marketing Automation Lead, Orchestration & Marketing Automation is responsible for cross-functional partnership and ... or equivalent + 5 -10 years of pharmaceutical industry and/or marketing operations experience + Expertise in independently managing large projects with multiple… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Health Plan Auditor Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Senior Health Plan Auditor is a hybrid role and...and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors.… more
- Otsuka America Pharmaceutical Inc. (Montgomery, AL)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- ServiceNow, Inc. (San Francisco, CA)
- …underwriting, servicing, distribution) + Experience embedding AI into insurance workflows (eg, claims triage, automated intake, fraud detection) + Proven success ... The CRM Workflows business unit enables seamless sales and service operations across industries. For Insurance, we empower insurers to modernize distribution,… more
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