- CVS Health (Sacramento, CA)
- …SIU Investigators, Managers, and Directors as appropriate in matters pertaining to the investigation of suspected healthcare fraud cases. Completion of Fraud ... position will focus on utilization, quality, and review of fraud , waste, and abuse for individual Aetna member cases....resources and technology in developing evidence, supporting allegations of fraud and abuse. + Research and prepare cases for… more
- DataVisor (Mountain View, CA)
- About DataVisor DataVisor is the world's leading AI-powered Fraud and Risk Platform that delivers the best overall detection coverage in the industry. With an open ... solution scales infinitely and enables organizations to act on fast-evolving fraud and money laundering activities in real-time. Its patented unsupervised machine… more
- DataVisor (Mountain View, CA)
- About DataVisor DataVisor is the world's leading AI-powered Fraud and Risk Platform that delivers the best overall detection coverage in the industry. With an open ... solution scales infinitely and enables organizations to act on fast-evolving fraud and money laundering activities in real-time. Its patented unsupervised machine… more
- DataVisor (Mountain View, CA)
- About DataVisor: DataVisor is the world's leading AI-powered Fraud and Risk Platform that delivers the best overall detection coverage in the industry. With an open ... that supports easy consolidation and enrichment of any data, DataVisor's fraud and anti-money laundering (AML) solutions scale infinitely and enable organizations… more
- Executive Office for US Attorneys and the Office of the US… (Los Angeles, CA)
- …Civil Division is divided into five sections: Complex and Defensive Litigation, Civil Fraud , Civil Rights, Tax and Bankruptcy, and Civil Appeals. An ideal candidate ... divided into five sections: Complex and Defensive Litigation, Civil Fraud , Civil Rights, Tax, and Civil Appeals. If you...is subject to a favorable adjudication of a background investigation . For more information on the Department of Justice… more
- EFI Global (Rocklin, CA)
- …A PLACE FOR YOU HERE EFI Global is a full-service engineering, fire investigation , environmental, health and safety, and specialty consulting services firm serving a ... decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global… more
- Elevance Health (Los Angeles, CA)
- …The **Investigator Senior** is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare ... fraud in order to recover corporate and client funds...Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one… more
- LinkedIn (Sunnyvale, CA)
- …and identifying account abuse across online platforms . Deep knowledge of fraud investigations and the tools/technologies that support it; familiarity with ... response to a formal complaint or charge, (b) in furtherance of an investigation , proceeding, hearing, or action, including an investigation conducted by… more
- Target (Placerville, CA)
- …events. They protect profitable sales by mitigating shortage risks, preventing, theft and fraud to ensure product is available for our guest. They also build ... your team + Identifyingand developing strategic resolutions of external theft and fraud and apprehending individuals attempting to cause a loss consistent with… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …manufacturing operations at CDMOs, including review of batch records, deviation investigations , and change controls. + Lead or significantly contribute to ... troubleshooting efforts and root cause investigations for downstream process deviations or performance issues at CDMOs. + Analyze downstream process data (via CPV… more
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