- Excellus BlueCross BlueShield (Rochester, NY)
- …this position is responsible for the accurate and thorough clinical investigation of potential fraud , waste and abuse (FWA) for all lines of business. The scope of ... + Prepares recommendations on preventive/corrective measures for the deterrent of future fraud . + Supports other SIU investigators and analysts with their cases by… more
- Providence (Oakland, CA)
- …at the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related auditing and monitoring ... education related to coding, medical record documentation requirements, healthcare compliance and fraud , waste and abuse to Health Plan staff, vendors and contracted… more
- Navient (San Francisco, CA)
- …**The Senior Quantitative Risk Analyst position will report to Senior Risk Analytics Manager .** **As the Senior Quantitative Risk Analyst, you will:** + Lead loss ... risks, trends, and opportunities. + Prepare and present portfolio forecasts and credit/ fraud performance updates to executives, the Board, and rating agencies. +… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …support the mission of the organization. Initiating organizational change, as a result of program changes or independent of program change, in order to effect ... strengths of employees, improve internal relations, etc. Evaluating each subordinate manager 's success in contributing to accomplishment of the institution's goals.… more
- Nebraska Public Power District (Columbus, NE)
- …pm Central Time. This position will report to the Internal Audit Services Manager . **Position Summary** Under direction of the Internal Audit Services Manager , ... Public Accountant (CPA), Certified Information System Auditor (CISA), Certified Fraud Examiner (CFE), or other applicable certification is required. **Essential… more
- Ross Stores, Inc. (Chicago, IL)
- …provides a visible presence at the Store entrances/exits, mitigating theft and fraud and maintaining a safe and secure environment for Associates and Customers\. ... professional appearance, in accordance with Company dress code\. **Mitigating Theft & Fraud :** + Monitors entrances/exits as well as sales floor for potential theft… more
- Commonwealth of Pennsylvania (PA)
- …conducting interviews with auditees to obtain or update understanding of the program and department's components of internal controls as they relate to performing ... within one or more programs + Coordinating the execution of all audits within a program within a specified region + Assigning work duties to audit staff for planning… more
- UMB Bank (Kansas City, MO)
- …AI solutions. This involves working closely with the Emerging Technology Product Manager to identify and build solutions. You will also collaborate with data ... architects, and business stakeholders to create AI models that power fraud detection, risk management, payments modernization, and personalized banking services,… 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...are delighted to offer: * Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits * Retirement… more
- Bath & Body Works (Pembroke Pines, FL)
- …in preventing and minimizing risk of life safety and theft & fraud events through consistent communication, partnerships, and education at all levels. ... response, and safety incidents. + Collaborate with RAPM (Regional Asset Protection Manager ) to follow up on safety and security incidents. + Problem-solve extreme… more