- Ankura (Lexington, NY)
- …guidance; and international compliance standards governing pharmaceutical and medical device operations . You will be joining a team of industry experts with ... backgrounds in compliance, regulatory, legal, audit, operations , nursing, pharmacy, medical science, economics, accounting, and data science. As a Senior Director,… more
- MyFlorida (Orlando, FL)
- …and guiding staff; establishing overpayment and over-issuance claims; conducting fraud investigations for public assistance programs; and making appropriate ... + Plans, evaluates, guides and coaches staff as required. + Conducts fraud investigations and recommends appropriate action. + Reviews and analyzes error-prone and… more
- TEKsystems (St. Louis, MO)
- …AUS engines, and OES. Identify and assess overall risk and potential fraud exposure resulting from clients' underlying business practices. Meet the minimum daily ... and RESPA. Up-to-date knowledge in Fannie/Freddie guidelines, back-end quality control and fraud audit experience. Must be able to use Desktop Underwriter (DU), Loan… more
- Parsons Corporation (Springfield, VA)
- …law enforcement, IC, cyber security or general law enforcement investigations or operations experience. + Experience using data analytics tools and databases. + ... **Responsibilities include, but are not limited to** **:** + Investigate complaints of fraud , waste and abuse, data spills, and network penetrations. + Respond to… more
- RELX INC (Alpharetta, GA)
- …of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You ... of enterprise programs across functions such as Product, Market Planning, Technology, Operations , and Sales + Oversee a portfolio of strategic initiatives, ensuring… more
- TEKsystems (Madison Heights, MI)
- …and other AUS engines. + Identify and assess overall risk and potential fraud exposure. + Meet daily production goals and quality targets, clearing conditions within ... regulations. + Experience with Fannie/Freddie guidelines, back-end quality control, and fraud audit. + Use of Desktop Underwriter (DU), Loan Prospector (LP),… more
- Elevance Health (Atlanta, GA)
- …record review. **How you will make an impact:** + Investigates potential fraud and over-utilization by performing medical reviews via prepayment claims review and ... and educational materials + Acts as liaison with service operations as well as other areas of the company...preferred + Medical claims review with prior health care fraud audit/investigation experience preferred + Knowledge of Provider Manuals… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- …+ **Cross-Functional Leadership:** Collaborate closely with medical, regulatory, commercial operations , and finance teams to ensure cohesive brand execution. + ... brand strategies + Experience in market access, sales, and/or commercial operations highly preferred + Omnichannel expertise, including digital engagement, NPP,… more
- Otsuka America Pharmaceutical Inc. (Helena, MT)
- …across various departments to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a complex portfolio of ... production takes place to meet market demands. + Lead regular Sales and Operations Planning (S&OP) meetings with all internal key functional areas to share… more
- TEKsystems (Riverview, FL)
- …AUS engines, and OES. Identify and assess overall risk and potential fraud exposure resulting from clients' underlying business practices. Meet the minimum daily ... and RESPA. Up-to-date knowledge in Fannie/Freddie guidelines, back-end quality control and fraud audit experience. Must be able to use Desktop Underwriter (DU), Loan… more
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