- Molina Healthcare (Lexington, KY)
- …opinions. + Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations . + Knowledge of Managed Care and the Medicaid and ... Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations . + Detects potential health care fraud , waste, and… more
- Highmark Health (Frankfort, KY)
- …years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year in Financial Analysis in ... project, potential fraud , waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud , waste… more
- Prime Therapeutics (Frankfort, KY)
- …& Experience** + Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the ... for work visa or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations /claims experience. + Ability to manage workload while… more
- Coinbase (Frankfort, KY)
- …equivalent practical experience * Strong knowledge of pull payment processes and experience with fraud claim investigations * A passion for fighting fraud ... to alerts regarding anomalous customer and transaction behavior * Measure fraud performance across payment methods, develop core metrics, and create dashboards… more
- Coinbase (Frankfort, KY)
- …* Lead a team of 10-15 Compliance (Transaction Monitoring / AML and Fraud Investigations /EDD) Analysts; * Ensure adherence to operational KPIs from directs ... and vendor partners or overall performance and the quality. * Coordinate with senior management and provide insights for process improvement. * Communicate effectively with your team to drive individual and group performance. * Champion change management with… more
- Molina Healthcare (KY)
- …SIU an active relationship with third parties who have specific experience in conducting fraud and abuse investigations . * Prepares written reports to inform the ... accountability for compliance by overseeing, follow-up and resolution of investigations . **Knowledge/Skills/Abilities** * Responsible for oversight and management of… more
- Allied Universal (Louisville, KY)
- …(5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud + Ability to be properly licensed as ... programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists… more
- Coinbase (Frankfort, KY)
- …connection, and alignment. Attendance is expected and fully supported. Senior AML Investigations Trainer provides end to end learning services, and management for ... job requirements): * Minimum 2 years of formal experience training AML, Fraud or other Compliance-related pillars. * Proven track record of successfully managing… more
- Jabil (Florence, KY)
- …information, veteran status, or any other characteristic protected by law. BE AWARE OF FRAUD : When applying for a job at Jabil you will be contacted via ... victim of identity theft, contact the Federal Bureau of Investigations internet crime hotline (www.ic3.gov), the Federal Trade Commission...any other characteristic protected by law. BE AWARE OF FRAUD : When applying for a job at Jabil you… more
- Command Investigations (Louisville, KY)
- Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in ... as a leader in the investigation industry. At Command Investigations , we take pride in our proven track record...+ Minimum of 1 year experience relating to Work Compensation/ Fraud /Mobile and Stationary surveillance + Be able to hold… more