- Humana (Albany, NY)
- …of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The ... Manager, Fraud and Waste works within specific guidelines and procedures;...Certifications (BA, MBA, JD, MSN, Clinical Certifications, CPC, CCS, CFE , AHFI) + Understanding of healthcare industry, claims processing… more
- Guardian Life (New York, NY)
- …financial services fraud investigations + Series 7 and CAMS and/or CFE designation strongly preferred (or willingness to obtain certification within 18 months of ... spot trends, red flags, suspicions of money laundering and fraud through the review of automated alert scenarios and...but not limited to Suspicious Activity Reports and state fraud reporting. + Provides subject matter expertise to business… more
- CVS Health (Albany, NY)
- …research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Bilingual English/Spanish + ... day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's… more
- Mizuho Corporate Bank (New York, NY)
- …or similar. + Professional certifications in financial crimes (eg ACAMS, CFCS, CFE ) preferred. + Experience tuning and optimizing models for Transaction Monitoring, ... Transaction and Customer Screening, and/or Customer Risk Rating. + Experience conducting Transaction Monitoring (TM) Risk & Typology Coverage Assessments, including mapping risks and typologies to products and services. + Experience coordinating data quality… more
- Deloitte (New York, NY)
- …related field or an MBA + Professional certifications such as PE, ASA, PMP, CFA, CFE , CCE, or CPA + Experience with coding, particularly SQL + Previous experience in ... a professional services firm or with international project engagements + Multilingual capabilities Information for applicants with a need for accommodation:… more
- Elevance Health (East Syracuse, NY)
- …Must obtain Continuing Education Training requirements. + MBA, CPA, CIA or CFE preferred. + Demonstrated leadership experience preferred. + A valid driver's license ... and the ability to travel may be required. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates… more
- Moss Adams LLP (New York, NY)
- …preferred + CAMS, CFIRS, CFE , CFF, CIA or CPA preferred. If not certified , must meet educational requirements to obtain license upon hire in state of employment ... + Minimum of 2 years of experience in internal audit, regulatory compliance, deposit/lending compliance, consulting services or related + Previous experience in banking or credit unions preferred + Travel up to 25% annually + Ability to work effectively as… more
- TD Bank (New York, NY)
- …to the bank and externally **Preferred Experience:** + CISA Certification + CAMS/ CFE Certification + Internal IT Audit experience, leading audit team as well ... as oversight of audit planning and scope of work. + Strong Knowledge of IT Systems (Operating/Cloud) + AML/Financial Crimes experience is a plus **Physical Requirements:** Never: 0%; Occasional: 1-33%; Frequent: 34-66%; Continuous: 67-100% + Domestic Travel -… more
- Mizuho Corporate Bank (New York, NY)
- …degree and/or a professional certification (eg, MBA, CPA, CA, CIA, CISA, CFE ) or license relevant to the profession.Demonstrates a sound understanding of the ... financial services industry, including audit, financial, credit risk management, or technology functions. Possesses at least 5-8 years of relevant work experience, including in internal auditing or external auditing, risk management, supervisory examinations,… more
- Cherry Bekaert (Albany, NY)
- …of study + Relevant professional certification complete/in-process (ie CIA, CFSA, CBA, CPA, CFE , CAMS) + Minimum of 2+ years of related professional services or ... internal audit experience within a community bank/credit union (typical asset size $500M - $20B) + Familiarity with applicable state and federal regulations + Demonstrated analytical and time management skills as well as the ability to thrive within an… more