- State of Colorado (Denver, CO)
- …CO Job Type Full Time Job Number UHA01380 03/08/2025 Department Department of Health Care Policy and Financing Division Medicaid Operations Office Opening Date ... Fraud Waste and Abuse Division Director Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4941547)...be used to fill multiple openings. The Department of Health Care Policy & Financing (HCPF) oversees… more
- Zions Bancorporation (Midvale, UT)
- …Bank Secrecy Act (BSA) and USA PATRIOT Act requirements, Suspicious Activity Report (SAR) review and filings for Fraud investigations teams. . Manage, lead and ... process when unusual customer activity is identified during a Fraud investigation and/or upon review of ...Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts . Paid Training, Paid Time Off (PTO)… more
- Comerica (Farmington Hills, MI)
- …such as life insurance, AD&D, and supplemental health programs to offset unexpected health care expenses. We also have a variety of time off programs for ... Develop training/guidance materials for all impacted colleagues across the organization. Define, review , and articulate regular reporting on fraud performance to… more
- JPMorgan Chase (Indianapolis, IN)
- …and programs to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a ... Join the Fraud Client Experience Team and be part of...recovery opportunities, and reducing bank loss. **Job Responsibilities:** + Review potentially fraudulent payments alerted by bank controls and… more
- New York State Civil Service (Rochester, NY)
- …by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal ... and the recent filing of four major lawsuits against nursing homes, including Centers Health Care , Cold Spring Hills Center for Nursing and Rehabilitation, The… more
- New York State Civil Service (Syracuse, NY)
- …by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal ... and the recent filing of four major lawsuits against nursing homes, including Centers Health Care , Cold Spring Hills Center for Nursing and Rehabilitation, The… more
- Guidehouse (Richardson, TX)
- …Parental Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + ... Will Do** **:** + Conduct quality assurance reviews of fraud recovery cases handled by analysts to ensure accuracy,...use of analytical tracking and data management tools. + Review developing cases, identify and analyze points of compromise,… more
- Humana (Tallahassee, FL)
- …* Bachelor's Degree * A minimum of 2 years' experience conducting comprehensive health care fraud investigations (Medical Coding or Healthcare (Medical ... part of our caring community and help us put health first** The Fraud and Waste Professional...millions of people we serve to achieve their best health - delivering the care and service… more
- Amentum (Baltimore, MD)
- + Review data from vendors who provide health care services paid by the federal government to identify anomalies that might be indicative of improper billing ... or other types of fraud . + Formulate data runs or inquiries from large...graphs for use in hearings, presentations, or trial. + Review defense presentations, expert reports, and arguments. + Create… more
- PNC (Tysons Corner, VA)
- …validator you will perform rigorous independent reviews of PNC's models including fraud models, anti-money laundering models, as well as various types of ... machine-learning models. Key Responsibilities: 1. Independent Model Review : Perform qualitative and quantitative assessments of all aspects of models including data… more