- Guidehouse (Richardson, TX)
- …Required** **:** None **What You Will Do** **:** + Oversee the daily operations of a team of 10+ Fraud Recovery Analysts, ensuring that all team ... and productivity goals. + Conduct quality assurance reviews of fraud recovery cases handled by analysts to...Experience with and comfortable in leading and developing a team . + Strong leadership and time management skills +… more
- Guidehouse (Richardson, TX)
- …Required** **:** None **What You Will Do** **:** + Manage the Fraud Recovery function, including personnel management, queue management, quality assurance, ... processing of cases. + Conduct quality assurance reviews of fraud recovery cases to ensure accuracy, completeness,...duties of Productive Resources when necessary to support the team and ensure project success. **What You Will Need**… more
- Galileo Financial Technologies, LLC (Sandy, UT)
- … Fraud Strategy while overseeing teams focused on initial and more detailed fraud investigations . This role will ensure that the teams have consistent ... team is responsible for executing Galileo's Risk and Fraud services. The Director of Risk Intelligence will have...What you'll need: 8+ years of hands-on experience in fraud prevention, investigations , or related cyber-crime environments,… more
- JPMorgan Chase (Indianapolis, IN)
- …information exchange and communications with the client, Relationship Team , and the Fraud Investigations Team . This role offers an exciting opportunity ... Join the Fraud Client Experience Team and be...Qualifications, Capabilities, and Skills:** + Strong working knowledge of Investigations / Fraud Investigations . + Effective communication… more
- New York State Civil Service (New York, NY)
- …data analysts, and legal support analysts to conduct complex, long-term healthcare fraud investigations . The Medicaid program provides health coverage to ... No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst:Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade NS Bargaining… more
- TEKsystems (Austin, TX)
- …management. * Collects, processes, preserves, and analyzes digital-related evidence to support fraud investigations . * Responds to crises or urgent situations to ... Our client is searching for an IT Risk and Security/ Fraud Prevention Specialist for a position that can be worked out of the Austin, TX location on a hybrid basis.… more
- New York State Civil Service (Syracuse, NY)
- …nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations .The Medicaid program provides health coverage to millions ... Attorney General, Office of the Title Forensic Auditor: Investigate Healthcare Fraud (6390) Occupational Category Financial, Accounting, Auditing Salary Grade NS… more
- State of Georgia (Fulton County, GA)
- …(https://careers.georgia.gov/jobs/67792/other-jobs-matching/location-only) Hot (https://careers.georgia.gov/landingpages/legal-opportunities-at- team -georgia-4) Legal ... the Georgia False Medicaid Claims Act. The Attorney General, through the Medicaid Fraud Division, has statewide jurisdiction for the recovery of civil remedies… more
- New York State Civil Service (New York, NY)
- …nurses, and legal support analysts to conduct complex, long-term healthcare fraud investigations .The Medicaid program provides health coverage to millions ... General, Office of the Title Forensic Auditor: Investigate Complex Healthcare Fraud (6383) Occupational Category Financial, Accounting, Auditing Salary Grade NS… more
- Prime Therapeutics (Lansing, MI)
- …+ Identify and contribute to process improvements to drive efficiency and innovation in recovery and resolution team + Other duties as assigned **Education & ... It fuels our passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst… more
- Molina Healthcare (NE)
- …opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and ... responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud , waste, and… more
- Koniag Government Services (Arlington, VA)
- …systems, and knowledge of network systems that are part of financial fraud investigations . + Develops methods and techniques providing digital forensics ... monitoring. + Experience in directly supporting criminal, civil and administrative investigations involving procurement fraud , financial crimes, and employee… more
- Highmark Health (Tallahassee, FL)
- …project, potential fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery /savings of money related to fraud ... years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in… more
- USAA (San Antonio, TX)
- …Card and Deposit transactional disputes. + Assists team members with reasonable investigations of complex and moderately complex Fraud and Non- Fraud ... US with occasional business travel. **Tasks:** + Under direct supervision, completes reasonable investigations of the most complex Fraud and Non- Fraud Credit… more
- CVS Health (Lansing, MI)
- …a team responsible for ensuring the quality and integrity of healthcare fraud and abuse investigations . This role involves overseeing the training and ... effectively assess the prevention, investigation, and prosecution of healthcare fraud and abuse, ensuring the recovery of... members on the completeness and quality of their investigations . + Evaluate team members and provide… more
- Marriott (Bethesda, MD)
- …to provide analysis and financial oversight including development and implementation of key metrics ( Fraud Recovery Rate, Fraud by Channel, Fraud Loss, ... health of the Program. + Using Empower, SQL queries, and data gathered from team leaders, successfully monitor and analyze Loyalty Fraud by developing monitoring… more
- First National Bank of Omaha (Omaha, NE)
- …critical areas such as anti-money laundering, cybercrime, sanctions evasion and fraud prevention. The Senior Associate, Financial Crimes / BSA provides expertise ... eight National Anti-Money Laundering Priorities (Corruption, Cybercrime, Terrorist Financing, Fraud , Transnational Criminal Organizations, Proliferations Financing, Human Trafficking and… more
- Ross Stores, Inc. (Las Vegas, NV)
- **Our values start with our people, join a team that values you\!** We are the nation's largest off\-price retailer with over 2,000 stores, and a strong track record ... and exciting treasure hunt experience\. As part of our team , you will experience: + **Success\.** Our winning ...and leadership to minimize operational shortage, mitigate theft and fraud , and maintain safe and secure environments for Ross… more
- Ross Stores, Inc. (Dallas, TX)
- **Our values start with our people, join a team that values you\!** We are the nation's largest off\-price retailer with over 2,000 stores, and a strong track record ... and exciting treasure hunt experience\. As part of our team , you will experience: + **Success\.** Our winning ...and leadership to minimize operational shortage, mitigate theft and fraud , and maintain safe and secure environments for Ross… more
- MyFlorida (Tallahassee, FL)
- …for conducting investigations under the supervision of the Chief of Investigations pertaining to employee misconduct, fraud , waste, or abuse involving the ... Department of Children and Families. Duties include conducting investigations either independently or jointly with law enforcement; interpreting violations of laws,… more