- Guidehouse (Richardson, TX)
- …gain employment with our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst's to conduct, identify, and investigate potential ... to appropriately document and escalate such matters. The responsibilities of the Fraud Investigations Analyst will include, but are not limited to: + Gathering,… more
- Conduent (San Antonio, TX)
- …be part of a culture where individuality is noticed and valued every day. ** Fraud Investigation Services Associate III** **Onsite - San Antonio, TX** **$21.00 ... per hour** As a ** Fraud Investigation Services Associate III,** you will...III, you will be responsible for: + Conducting thorough investigations into suspected fraudulent activities by analyzing financial records,… more
- Molina Healthcare (Houston, TX)
- …opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and ... medical records and data analysis, and makes determinations as to whether the investigation and/or audit identified potential fraud , waste, or abuse. +… more
- Wells Fargo (San Antonio, TX)
- …consultants, and engage management, vendors or related functional areas associated with fraud and claims investigations + Identify and recommend opportunities ... investigation , recovery, and government or internal reporting of fraud and claims activity + Make decisions and resolve...in hiring talent **Required Qualifications:** + 4+ years of Fraud Claim Investigations or Policy Violations, Risk… more
- Elevance Health (Grand Prairie, TX)
- …prior to payment. Researches new healthcare-related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any… more
- Conduent (San Antonio, TX)
- …agencies, investigators, and internal stakeholders to ensure timely and effective fraud prevention. **Key Responsibilities** + Lead investigations into suspected ... **Requirements** + Minimum of 2 years of experience in financial services, fraud , or investigations . + Minimum of 1 year of leadership or team oversight… more
- Weatherford (Houston, TX)
- …Forensics to lead and support critical risk and compliance areas, including Fraud Risk Management, Compliance Investigations , and SOX (Sarbanes-Oxley) Testing. ... operational, and compliance audits. **Requirements** + Lead and enhance the enterprise-wide fraud risk management program. + Perform fraud risk assessments and… more
- Centene Corporation (Austin, TX)
- …a culture of integrity and accountability. Provide strategic oversight of ethics investigations related to fraud , waste, abuse, and conflicts of interest, ... compliance across all business units and markets. + Provide oversight of internal investigations into allegations of fraud , waste, abuse, and conflicts of… more
- Bank of America (Dallas, TX)
- Attorney - Fraud & Claims and At-Risk Persons Charlotte, North Carolina;Dallas, Texas; Plano, Texas **To proceed with your application, you must be at least 18 years ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Attorney-I Fraud Claims-and-At-Risk-Persons\_25028865-1) **Job Description:** At Bank of America, we… more
- PenFed Credit Union (San Antonio, TX)
- …of the PenFed family. PenFed is hiring a (Hybrid) Senior Manager, Home Lending Fraud Operations at our San Antonio, Texas service center. The primary purpose of this ... and oversight strategies to detect, prevent, and mitigate mortgage and servicing fraud schemes within our organization. This role involves leading fraud -related… more