- PNC (PA)
- …Experience Management., Decision Making and Critical Thinking, Effective Communications, Fraud Detection and Prevention, Managing Multiple Priorities, Problem ... Solving, Products and Services, Tech Savvy **Work Experience** Roles at this level typically require an Associates or equivalent degree as well as related experience or product knowledge to accomplish primary duties. Typically requires 3+ years experience. In… more
- PNC (Pittsburgh, PA)
- …projects range from automation of consumer account document evaluation to implement fraud detection technologies. The Technology Development Program is located ... in Pittsburgh, PA, Cleveland, OH, Birmingham, AL, and Dallas TX. Learn more about PNC's Development Programs by visiting www.pnc.jobs/students . **Job Profile** : Participates as an analyst/associate in the line of business development program. + Performs or… more
- Coinbase (Harrisburg, PA)
- …These challenges encompass areas such as feed ranking, recommendation systems, targeting, fraud detection , chatbots, and blockchain mining. * Develop and deploy ... robust, low-maintenance applied machine learning solutions in a production environment. * Create onboarding codelabs, tools, and infrastructure to democratize access to machine learning resources across Base, fostering a culture of widespread ML utilization.… more
- Coinbase (Harrisburg, PA)
- …challenges throughout the company. These challenges encompass areas such as fraud detection , feed ranking, recommendation systems, targeting, chatbots, and ... blockchain mining. * Develop and deploy robust, low-maintenance applied machine learning solutions in a production environment. * Create onboarding codelabs, tools, and infrastructure to democratize access to machine learning resources across Coinbase,… more
- NASCO (Harrisburg, PA)
- …AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment, fraud detection , and personalized member engagement + Collaborates with product ... and engineering teams to embed AI-driven automation and decision intelligence into SaaS offerings Leadership & Cross-Functional Collaboration + Works closely with Product Management, Engineering, and Customer Success teams to align data and AI strategies with… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Description + Predictive Modeling: Develop predictive models to enhance risk assessment, fraud detection , and customer segmentation strategies + Claims Analysis: ... Analyze claims data to identify patterns, improve processing efficiency, and detect fraudulent activity + Pricing Optimization: Work closely with Actuarial teams to optimize pricing models and assess market competitiveness + Risk Assessment: Build advanced… more
- TTEC (Harrisburg, PA)
- …and/or Mobility industries + Experience in outsourced customer care services or fraud prevention & detection solutions + Proven ability incorporating ... transformational technologies to improve efficiency and productivity while creating exceptional customer experiences + Track record of creating demand, building a robust sales pipeline, and closing deals to meet and exceed multi-year, multi-million-dollar… more
- Prime Therapeutics (Harrisburg, PA)
- …with HIPAA privacyrequirements and applicable state and federal regulations. **Responsibilities** + FRAUD , WASTE AND ABUSE DETECTION : + Maintains caseload of ... for the intake and initial handling of allegations of fraud , waste or abuse. Conducts preliminary investigation to assess...audit or investigation. Serves as a corporate resource on fraud , waste and abuse issues and maintains confidentiality and… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- …Monitoring, Customer Risk Scoring, and OFAC/Sanctions Screening systems, as well as fraud models. *Location for this position is in St Petersburg, FL, New ... Own, develop and manage working relationship with BSA/AML and fraud model stakeholders + Monitor and keep abreast of...principles. + The role of models in financial crime detection and prevention. Skill in: + Microsoft Excel and… more
- Highmark Health (Pittsburgh, PA)
- …Investigations & Provider Review (FIPR) organization. The strategic plan focuses on the detection and investigation of fraud , waste and abuse (FWA) and ... knowledge of legal and investigative procedures used in the detection and successful resolution of health care fraud... detection and successful resolution of health care fraud , waste and abuse (FWA) cases **Language (Other than… more