• Manager , Fraud and Waste

    Humana (Richmond, VA)
    …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
    Humana (09/24/25)
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  • Operational Risk Manager - Fraud…

    Citizens (Glen Allen, VA)
    Description The Manager of Fraud Risk Oversight will support the independent Risk Oversight of the Fraud and Claims divisions and all aspects of Fraud ... including the effectiveness of Fraud Strategy/Analytics, the efficiency of Fraud Alert Review and Investigations and effectiveness of Front-Line Controls… more
    Citizens (09/18/25)
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  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Richmond, VA)
    …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
    Elevance Health (10/03/25)
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  • Asset Protection Investigations Analyst

    Family Dollar (Chesapeake, VA)
    The Asset Protection (AP) Investigation Analyst role is supporting Shrink improvement for Family Dollar banner. The analyst is expected to analyze large data sets to ... users by creating and maintaining Asset Protection tools and reporting for fraud , case management, and AP programs. Principal Duties & Responsibilities: + Coordinate… more
    Family Dollar (09/25/25)
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  • (USA) Manager I, Asset Protection -…

    Walmart (Prince George, VA)
    …with specific types of tools used for theft prevention Conducts investigations Recognizes and investigates security breaches thefts shortages loss and vandalism ... Coaches team members to develop process improvement skills Leads incident investigations and root cause analysis Provides countermeasure solutions Asset Protection… more
    Walmart (10/02/25)
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  • SH&E Systems Manager (Remote)

    Parsons Corporation (Centreville, VA)
    …looking for. **Job Description:** Parsons is looking for an amazingly talented **SH&E Systems Manager ** to join our team! In this role you will get to provides ... and timely case management. + Initiates and conducts thorough incident investigations and root cause analyses using defensible protocols. Works collaboratively with… more
    Parsons Corporation (10/04/25)
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  • Senior Manager , Compliance Advisor…

    Capital One (Richmond, VA)
    …Customer Protection to include Fraud Strategy and Prevention, Fraud Investigations , Claims and Disputes. **The Senior Manager supports the line of ... Senior Manager , Compliance Advisor - Retail Bank The Senior Manager , Compliance Advisor - Retail Bank performs a key risk management role (second line of… more
    Capital One (09/06/25)
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  • Principal Process Manager , AML Procedural…

    Capital One (Richmond, VA)
    Principal Process Manager , AML Procedural and Operational Excellence As a Principal Process Manager in Capital One's Anti-Money Laundering (AML) department, you ... tasks in efficient and well-managed ways. The Principal Process Manager will play a key role in delivering business...to resolve process breakdowns + Recapping outcomes of Joint Investigations and share with leadership so we can understand… more
    Capital One (10/02/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Norfolk, VA)
    …the company's coding guidelines, provider coding audits, and participates in developing an investigation team that focuses on potential fraud , waste and abuse in ... medical record documentation to determine if there is potential fraud , waste, or abuse that warrants further investigations...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/24/25)
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  • Portfolio Manager /Deputy Engineer

    CACI International (Sterling, VA)
    Portfolio Manager /Deputy Engineer Job Category: Engineering Time Type: Full time Minimum Clearance Required to Start: None Employee Type: Regular Percentage of ... * * CACI is currently looking for a Portfolio Manager /Deputy Engineer with Agile methodology experience to join our...US Citizen with the ability to pass CBP background investigation , criteria include, but not limited to: + 3-year… more
    CACI International (08/29/25)
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