- MyFlorida (Tallahassee, FL)
- …of the Agency goals is to ensure fewer budgeted dollars are lost to fraud , abuse, and waste. The Bureau of Medicaid Program Integrity (MPI) does this specifically ... as overpayment recoveries, administrative sanctions, and the referral of suspected fraud or other criminal activities for law enforcement investigation. Medicaid… more
- Highmark Health (Tallahassee, FL)
- …referrals from sources such as claims, customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert Investigators of the need for further analysis; will ... of customers and providers to obtain information in suspected fraud waste and abuse cases; Prepare reports and other...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- City National Bank (Tallahassee, FL)
- …handling lender self-reporting requirements, and coordinating regulatory audits and fraud reporting. The ideal candidate brings strong analytical skills, attention ... government agencies (eg, Fannie Mae, Freddie Mac, FHA, VA), mortgage insurance providers, and servicing partners. * Monitor reporting requirements and ensure… more
- Jabil (St. Petersburg, FL)
- …+ Lead and conduct complex internal investigations involving allegations of fraud , conflicts of interest, bribery, procurement-related misconduct, and other policy ... and risk management. + Demonstrated experience with anti-bribery, procurement fraud , financial reporting compliance, and complex internal investigations. +… more
- PNC (Jacksonville, FL)
- …within PNC's Independent Risk Management Organization. 2+ years of AML / Fraud related experience, Suspicious Incident Report (SIR) / Suspicious Activity Report ... and/or mitigation of suspicious bank activity, control and prevention of losses related to fraud , AML and /or organizational risk. + Based on root cause, assists in… more
- RELX INC (Boca Raton, FL)
- …of Anti-Money Laundering/ Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can ... through coordinated development with customer-facing teams, and understand the fraud and/or compliance markets and related regulatory environments. This position… more
- PNC (Jacksonville, FL)
- …cases, reports and work for potential and actual loss. Minimizes fraud , Anti-Money Laundering and/or organizational risk. Performs early detection of suspicious ... and escalates as appropriate. + Follows standards and practices to mitigate fraud , Anti-Money Laundering and other risk exposure and loss. Shares best practices… more
- Mastercard (Tallahassee, FL)
- …achieve their financial objectives. Additionally, this person must understand how fraud and cybersecurity trends and technology impact card program profitability. ... from issuers and partners on product capabilities, market need, ROI, and cyber/ fraud trends Market Analysis and Competitive Intelligence: You monitor market trends,… more
- Citigroup (Tampa, FL)
- …and governance processes designed to minimize losses from inadequate controls, fraud , and potential bankruptcy. This includes supervision over technology operational ... risk, cyber risk, and fraud risk. These individuals are also responsible for the...Experience working in a regulated industry (eg, banking, finance, insurance , healthcare). + Professional certifications in either technology risk… more
- CVS Health (Tallahassee, FL)
- …Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role is ideal for a data professional with strong skills ... who can transform complex healthcare data into actionable insights to support fraud , waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting.… more