- Elevance Health (Mason, OH)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an Impact:** + Examines claims for ... compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …regarding coding and billing. The Professional Auditor, under the direction of Audit manager , will collaborate with a variety of business units including Fraud ... levels of risk. Identifies potential quality of care issues and potential fraud , waste, or abuse. Makes referrals for follow-up as necessary. Actively participates… more
- Fiserv (Berkeley Heights, NJ)
- …JAVA, APIGEE, DevOps, Kubernetes, Azure, and Fraud prevention solutions (eg, Falcon Fraud Manager ) + Proficiency in Spring Boot and REST API development. + ... (FIG) you'll join a dynamic team focused on delivering cutting-edge Risk and Fraud solutions for over 3000+ Financial Institutions. You'll lead the creation and… more
- Elevance Health (Des Moines, IA)
- …for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:** + Examines claims for ... compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. + Reviews and conducts… 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 ... the Role We are seeking a seasoned Data Product Manager to join our team. This role is pivotal...product features and requirements, ensuring data quality, governance, and compliance with relevant regulations. You will develop and maintain… more
- Middlesex Savings (Boxborough, MA)
- …fraud and acts as a resource for branch staff in recognizing and preventing fraud . + Miscellaneous - Assists the Branch Manager and Assistant Branch ... and issues. Performs all duties in accordance with prescribed compliance , security and risk protocols. Maintains proficiency in regulatory...functions of a Senior Banker III or Assistant Branch Manager in absence of said manager ; this… more
- Middlesex Savings (Natick, MA)
- …experience and insights and recommends solutions. Is proficient at recognizing and preventing fraud . + Miscellaneous - Assists the Branch Manager and Assistant ... closings, basic wire approvals, lost bank checks, basic service recovery, processing fraud claims, and complex business accounts, among other technical and people… more
- SOS International LLC (El Paso, TX)
- …our government customer. This role oversees the performance and compliance of Call Specialists, ensuring high-quality, trauma-informed services for unaccompanied ... Job Duties** + Supervise and support Call Specialists to ensure compliance with contract requirements and delivery of high-quality, trauma-informed services in… more
- S&P Global (New York, NY)
- …or potential conflict of interest. Employment at S&P Global is contingent upon compliance with the Policy. **Recruitment Fraud Alert:** If you receive an ... internal use):** 09 The Junior Risk Analyst within Ratings Compliance & Risk has a broad range of responsibilities...and internal control reporting. This role reports to the Manager responsible for the operation of the Risk and… more
- Eaton Corporation (Beachwood, OH)
- …to understand and determine root causes of issues, identify areas of risk, fraud or non- compliance , and develop recommendations. This includes close coordination ... key enterprise risk management (ERM) areas, including anti-bribery and corruption, anti- fraud , labor practices, contracts, and business continuity. Reporting to the… more