- Humana (Albany, NY)
- …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
- New York State Civil Service (Albany, NY)
- …data analysts, and legal support analysts, to conduct complex, long-term healthcare fraud and patient abuse and neglect investigations . The Medicaid program ... Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6393) Occupational Category Legal Salary Grade NS Bargaining… more
- Molina Healthcare (NY)
- …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
- New York State Civil Service (New York, NY)
- …data analysts, and legal support analysts to conduct complex, long-term healthcare fraud investigations . The Medicaid program provides health coverage to ... No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst:Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade NS Bargaining… more
- CVS Health (Albany, NY)
- …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 (New York, NY)
- …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
- Ankura (Lexington, NY)
- …to Life Sciences clients and external counsel through compliance, disputes, investigations and advisory services. The position has tremendous growth potential with ... be working with practice leadership to provide exemplary compliance, disputes, investigations and litigation support (eg, expert witness) services across the Life… more
- TD Bank (New York, NY)
- …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
- M&T Bank (Buffalo, NY)
- …continuous auditing, product delivery assessments, validation procedures, investigations , and retrospective reviews) utilizing modernized assurance methodologies, ... auditing standards. The jobholder reports to an Audit (Senior) Manager . **Supervisory/Managerial Responsibilities:** **Education and Experience Required:** + Bachelor's… more
- CVS Health (Albany, NY)
- …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