• Investigator

    Highmark Health (Atlanta, GA)
    …:** **JOB SUMMARY** This job is responsible for developing and maintaining an anti - fraud program which includes development and delivery of training and filing ... licensure information, doctors' agreements, contract, etc. + Develop and maintain annual anti - fraud program which includes facilitating fraud training and … more
    Highmark Health (08/15/25)
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  • Special Investigation Unit Lead Review Analyst…

    CVS Health (Atlanta, GA)
    …of Certified Fraud Examiners (CFE), an accreditation from the National Health Care Anti - Fraud Association (AHFI), or have a minimum of three years Medicaid ... effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to...lost funds, and to comply with state regulations mandating fraud plans and practices. What you will do -… more
    CVS Health (08/20/25)
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  • Investigator - Special Investigations Unit

    Allied Universal (Mcdonough, GA)
    …or adjusting complex insurance claims + Proficient understanding and application of anti - fraud laws, insurance regulations, and compliance standards within their ... extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the...enforcement experience with specific attention to investigations related to fraud + Ability to be properly licensed as a… more
    Allied Universal (08/17/25)
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  • Director, Compliance ((Must reside…

    Molina Healthcare (Atlanta, GA)
    …* Enforces, as a representative of management, the Compliance Plan, Code of Conduct and Anti - Fraud Plan. * Establishes, at the direction of the AVP of Compliance ... an active relationship with third parties who have specific experience in conducting fraud and abuse investigations. * Prepares written reports to inform the AVP of… more
    Molina Healthcare (07/12/25)
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  • Legal Counsel

    ZOLL Medical Corporation (Atlanta, GA)
    …+ Working knowledge of healthcare compliance regulations (eg, state and federal anti -corruption, fraud , waste and abuse, anti -kickback, corporate practice ... of medicine, Sunshine and Stark laws) and privacy regulations (eg, HIPAA, GDPR, CCPA and CCPRA) is preferred + Ability to perform the essential duties and responsibilities of the position, as described above and as modified from time to time based on ZOLL… more
    ZOLL Medical Corporation (08/14/25)
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  • OSINT Collector SME

    SAIC (Augusta, GA)
    …+ Field experience may be substituted for education requirements + Industry OSINT, anti - fraud , or Trust and Safety experience may be substituted for US ... government intelligence experience **Clearance Requirement:** + Must be a US Citizen with an Active Top Secret SCI Clearance **Additional Requirements:** + Minimum DLPT 3/3/2 or Equivalent (ILS, ILR, ALTA) in target language required + Knowledgeable of idioms,… more
    SAIC (08/07/25)
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  • Consulting/Principal Software Engineer

    RELX INC (Alpharetta, GA)
    … Anti -Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can ... future-ready orchestration platform called RiskNarrative , which provides customers with anti -money laundering, fraud , compliance and risk managemen t capability… more
    RELX INC (07/15/25)
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  • Director Market Planning - Mid-Market Accounts,…

    RELX INC (Alpharetta, GA)
    … Anti -Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can ... https://risk.lexisnexis.com About our Team This role is within the Fraud & Identity Market Planning team, responsible for leading...As part of the Global Customer Segments Team within Fraud & Identity Market Planning, this position within the… more
    RELX INC (08/13/25)
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  • Assistant General Counsel - At-Home Solutions

    Cardinal Health (Atlanta, GA)
    …patients and prescribers and by federal and state government programs, for example, fraud and abuse ( Anti -Kickback Statute, False Claims Act, Civil Monetary ... Penalties Law, Stark, Beneficiary Inducement Statutes), FDA regulation (Food, Drug & Cosmetic Act), and privacy (HIPAA). * Draft, negotiate and review a wide range of agreements, including complex matters relating to manufacturer supply agreements and… more
    Cardinal Health (08/16/25)
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  • Customer Contact Center Coordinator II

    RELX INC (Alpharetta, GA)
    … Anti -Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can ... levels, Production, Quality and Compliance SLAs + Identify instances of fraud and investigate fraudulent activities + Responsible for putting together documentation… more
    RELX INC (08/20/25)
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