- 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
- 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)
- …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
- TD Bank (Jacksonville, FL)
- …Financial Crime Risk Management **Job Description:** **Department Overview:** FCRM Investigations is responsible for investigations of complex anti-money ... CISC, TRM-CI, CCAS, etc. + Experience conducting intelligence collection or investigations into activities involving cryptocurrency or cyber enabled crime (eg… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct… more
- Jabil (St. Petersburg, FL)
- …efforts. What will you do? + Lead and conduct complex internal investigations involving allegations of fraud , conflicts of interest, bribery, procurement-related ... , and risk management. + Demonstrated experience with anti-bribery, procurement fraud , financial reporting compliance, and complex internal investigations . +… more
- Bank OZK (Tampa, FL)
- … schemes, ability to identify red flags and suspicious activity, and conduct fraud investigations , when necessary. + Knowledge of applicable regulations and ... the independent testing standards for AML. + Actively identify and assess fraud risks by reviewing internal controls, operating processes, analyzing data for… more