- Deloitte (Philadelphia, PA)
- … experience when supporting an engagement team in their understanding of a client's fraud investigation and its impact on the financial statement audit. When ... employment + 8+ years of experience in auditing, forensic accounting, including accounting investigations or proactive fraud risk services + Experience in public… more
- Mallinckrodt Pharmaceuticals (Malvern, PA)
- …& Metrics - Provide progress reports and key metrics of active Compliance investigations Investigation Oversight & Support: + Investigations Process Support ... periodic training on the investigation process to team members. + Investigation Metrics & Reporting - Analyzes company-wide investigations trends and… more
- CVS Health (Harrisburg, PA)
- …the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... investigations into suspected and known acts of healthcare fraud , waste and abuse (FWA). **Key Responsibilities** + Conduct...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud . +… more
- Ankura (PA)
- …challenging, sensitive and adversarial situations + Lead and conduct forensic investigations , technical accounting research, fraud risk assessments, compliance ... excellence founded on innovation and growth. Practice Overview: Ankura's Global Investigations & Forensic Accounting team assists companies with addressing issues… more
- ManpowerGroup (Collegeville, PA)
- …an AML Fraud Analyst, you will be part of the compliance and fraud investigation team supporting fraud detection and suspicious activity reporting ... fraud prevention. + Gain valuable experience in AML and fraud investigation processes. + Work remotely with flexible arrangements to support work-life… more
- Humana (Harrisburg, PA)
- …to include multiple practice areas + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment methodologies ... Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving Florida's Medicaid… more
- Vanguard (Malvern, PA)
- …Transformation a) Lead the design and build out of an end-to-end fraud operations model covering prevention/detection alert servicing, investigations , client ... faster, stronger, risk-informed decisions. Within GR&S, the Enterprise Security and Fraud (ES&F) sub-division is responsible for the global protection of Vanguard… more
- Geisinger (Danville, PA)
- …Program Integrity ("PI") teams. Develops and directs the prevention, detection and investigation of anti- fraud , waste and abuse (FWA)program processes and ... regulatory requirements are met including the completion of annual fraud plans and reports. Acts as a point of...Duties + Provides leadership and strategic direction of Special Investigations and Program Integrity units spanning all lines of… more
- Bank of America (Scranton, PA)
- Operations Team Lead - US Wire Investigations Richmond, Virginia;Scranton, Pennsylvania **To proceed with your application, you must be at least 18 years of age.** ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Richmond/Operations-Team-Lead US-Wire- Investigations \_25040754) **Job Description:** At Bank of America, we are… more
- CVS Health (Harrisburg, PA)
- …Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a ... state and federal policies. + Identify potential billing errors, abuse, and fraud . + Identify opportunities for savings related to potential cases which may… more
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