- Intuit (Mountain View, CA)
- …done._ **What you'll bring** Required: + 5+ years of experience in BSA/AML investigations , financial crimes, or fraud detection, preferably at a fintech, MSB, ... functional levels + Aptnes to make sound risk-based decisions on complicated AML investigations . **How you will lead** ** Investigations & Case Management** +… more
- State of Massachusetts (Boston, MA)
- …procurements, compliance, litigation and investigations . The Audit, Oversight and Investigations Division investigates possible fraud , waste and abuse of ... not limited to:* * Acting as lead investigator on complex investigations of all types on the fraud , waste and abuse of public funds. * Analyzing and interpreting… more
- Coinbase (Charlotte, NC)
- …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
- M&T Bank (Buffalo, NY)
- …continuous auditing, product delivery assessments, validation procedures, investigations , and retrospective reviews) utilizing modernized assurance methodologies, ... tools, and approaches and in accordance with the Division's methodology. + Write audit findings that clearly identify risk and root cause. Communicate findings to Bank management in a timely fashion. + Partner with stakeholders, business management and Risk… more
- CVS Health (Richmond, VA)
- …state and federal policies. - Identify potential billing errors, abuse, and fraud . - Identify opportunities for savings related to potential cases which may ... warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder (CPC). - 3+ years of… more
- Aramco Services Company (Houston, TX)
- …conflict of interest, insider trading & anti-trust violations, procurement schemes and fraud . Involves in special inquiry investigations , that require a high ... to be completed. + Conducts objective, thorough, and timely investigations into allegations of fraud , waste or...thorough, and timely investigations into allegations of fraud , waste or abuse committed by employees or contractors… more
- Blue KC (MO)
- …including but not limited to Sales and Marketing, Job_Family_ID_Underwriting, PHP, Special investigations Unit ( fraud and abuse), Legal, Product Development, and ... Provider Services. + Provides medical leadership and advice for conformance with standards and guidelines for NCQA, URAC, state and federal regulators, and other accrediting bodies. + Acts as liaison for communication with physicians, hospitals, and other… more
- Blue KC (MO)
- …within the company, including but not limited to Sales and Marketing, Special investigations Unit ( fraud and abuse), Legal, Product Development, Compliance and ... Provider Services. + Provides medical leadership and advice for conformance with standards and guidelines for NCQA, URAC, state and federal regulators, and other accrediting bodies. + Acts as liaison for communication with physicians, hospitals, and other… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to governmental agencies (eg APS/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit (SIU) or designated ... internal/external entity. + Communicates with all internal and external stakeholders to obtain the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members. + Adheres to all Corporate and… more
- City of New York (New York, NY)
- …Offer any recommended referrals for ancillary services, as needed. - Accompany Fraud Investigators conducting eligibility investigations to assess health and ... safety conditions in primary tenant's homes. - Facilitate financial assistance when applicable through HRA colleagues. - Ensure HomeBase referrals are pursued by each family that remains in community. - Encourage all families immediately identify strengths,… more