- Zelis (St. Petersburg, FL)
- …the Fraud Manager , you will be responsible for overseeing fraud detection strategies, leading complex investigations , and enhancing fraud mitigation ... gained, and the personal interests that shape who you are. Position Overview The Fraud Manager , Payee Identification and Network Security will report to the Sr.… more
- Humana (Tallahassee, FL)
- …approach, resources, schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law ... community and help us put health first** The Special Investigations Unit Manager leads and monitors ... of allegations of fraudulent and abusive practices. The Manager , Fraud and Waste works within specific… more
- BMO Financial Group (Jacksonville, FL)
- We are seeking an experienced manager to handle our fraud & non- fraud Reg E disputes. In this role the successful candidate will manage a high-performing ... in the office, but this may increase based on BMO's direction.** Conducts investigations to identify, assess, decision and report on activity that indicates an… more
- American Express (Sunrise, FL)
- …+ 2 years of leadership experience in risk management, compliance, internal fraud investigation , or a similar role + Analytical skills, including ... and managing risk across all processes and geographies at American Express. The Manager , Internal Fraud will be part of the GRC organization and will report to… more
- Elevance Health (Tampa, FL)
- …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
- Molina Healthcare (Orlando, FL)
- …Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM), Certified Fraud Examiner (CFE), etc. + Professional ... (PSOC) Team. Responsible for the monitoring and intelligence, incident response, and investigations programs which are in place to avoid business disruption, threats… more
- CVS Health (Tallahassee, FL)
- …Job Description **A Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover lost ... of investigators and analysts to effectively pursue the prevention, investigation and prosecution of healthcare fraud and...Leads a team in the planning and execution of investigations of acts of healthcare fraud and… more
- Bank of America (Jacksonville, FL)
- Cons Prod Strat Analyst III - Global Payment Operations Fraud Charlotte, North Carolina;Jacksonville, Florida; Kennesaw, Georgia; Richmond, Virginia **To proceed ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Cons-Prod-Strat-Analyst-III Global-Payment-Operations- Fraud \_25007211-2) **Job Description:** At Bank of America, we are… more
- Bank of America (Jacksonville, FL)
- …and drawing analytics based insights + Deriving actionable insights from complex data + Investigation and root cause analysis of major fraud losses and emerging ... Fraud Analytics and Innovation Lead Analyst Newark, Delaware;Plano,...offered a role with Bank of America, your hiring manager will provide you with information on the in-office… more
- American Express (Sunrise, FL)
- …will help us define the future of American Express. American Express's US Investigations Unit (USIU) is part of the broader Global Risk & Compliance organization, ... (GFCC). USIU provides oversight and support for global financial crimes investigations . In partnership with teams across the financial crimes' organization, USIU… more